Isolated Liver Injury Due to Ground Current Effect of Lightning Strike

Abstract

A 26-year-old shepherd man was admitted to the emergency department in June 2020 after ground current effect of lightning strike. With the severity of the trauma, the patient fell to the ground and then fainted. Since the severity of the trauma was not known exactly, there was an open wound in the head, and the patient had dyspnea and elevated liver function tests. Cranial, thorax and abdominal computed tomography (CT) were performed. On CT scan, approximately 7-cm-in length grade 3 liver laceration, extending between segment V and segment VIII was seen without intra-abdominal pathology. The patient was admitted to the intensive care unit (ICU). During the follow-up, liver function tests returned to normal. Liver laceration was managed conservatively. The patient was discharged. On the 6th day of his hospitalization, the patient was discharged without any complications or signs of massive bleeding (the patient's hemoglobin level was 12.4 g/dL before discharge), his vital signs were stable, and his symptoms improved..