Compromiso intestinal por quemadura eléctrica de alto voltaje: caso clínico

Arriagada, Christian; Soto, Camilo; Peña, V. Sobradillo; Villegas, Jorge I.

doi:10.4321/s0376-78922013000400013

Cir. plást. iberolatinoam.

2013

DOI: 10.4321/s0376-78922013000400013

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Compromiso intestinal por quemadura eléctrica de alto voltaje: caso clínico

Christian Arriagada

Camilo Soto

V. Sobradillo Peña

et al.

Abstract: Las quemaduras son una de las causas más importantes de discapacidad y mortalidad en todo el mundo. En las producidas por electricidad de alto voltaje, las manifestaciones sistémicas más frecuentes son la insuficiencia renal y las arritmias. La lesión visceral secundaria a una quemadura eléctrica es infrecuente y su tratamiento quirúrgico constituye un desafío. En este artículo presentamos el caso clínico de un paciente con quemadura eléctrica de alto voltaje con compromiso de la pared abdominal y lesión intes… Show more

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2024

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Evisceration due to full thickness injury to the abdominal wall, with intestinal involvement, plus trauma to the chest wall, extremities and genitals due to high voltage electrical burn; case report and review of the literature

Fonseca Barragán,

Cariel Reyes,

Blanco Martínez

et al. 2024

Salud, Ciencia y Tecnología

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Electrical burns are one of the most drastic traumas to which an individual can be exposed; being able to directly or indirectly compromise almost all tissues of the human body. They cause more than 3,000 admissions to specialized burn units in the United States. Up to 40% of serious electrical injuries are fatal, resulting in approximately 1000 deaths per year.Its incidence depends on the type of exposure to electricity: low voltage, due to contact with electrical cables or plugs. High voltage, due to occupational exposures and power lines while climbing trees or poles. These voltages are more likely to cause injuries to deep tissues and internal organs compared to low voltage injuries and also the degree of body surface area burned.Its approach constitutes a challenge, since the risks of visceral involvement are added to the morbidity and mortality inherent to the burn. Early treatment of intra-abdominal complications allows a more conservative approach, reducing ostomies and their associated comorbidity. It is preferable to manage the abdominal defect by preserving the tissues themselves and restoring the midline. In our case, it was feasible to perform a primary closure of the abdominal wall. Your treatment will depend on factors such as: the amount of tissue lost, intra-abdominal contamination, general condition, and factors such as: physical resources and experience of the hospital. Mortality from burns ranges between 3 and 55%, those with the highest risk of death are those at extreme ages, higher degrees of burns, injuries associated with inhalation, and injuries in patients with comorbidities.

show abstract

Evisceration due to full thickness injury to the abdominal wall, with intestinal involvement, plus trauma to the chest wall, extremities and genitals due to high voltage electrical burn; case report and review of the literature

Fonseca Barragán,

Cariel Reyes,

Blanco Martínez

et al. 2024

Salud, Ciencia y Tecnología

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show abstract

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Compromiso intestinal por quemadura eléctrica de alto voltaje: caso clínico

Cited by 1 publication

References 7 publications

Evisceration due to full thickness injury to the abdominal wall, with intestinal involvement, plus trauma to the chest wall, extremities and genitals due to high voltage electrical burn; case report and review of the literature

Evisceration due to full thickness injury to the abdominal wall, with intestinal involvement, plus trauma to the chest wall, extremities and genitals due to high voltage electrical burn; case report and review of the literature

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