Successful treatment of a case of electrical burn with visceral injury and full-thickness loss of the abdominal wall.
A 13-year-old male received high-voltage electrical burns with a resultant large direct wound on the upper abdomen involving the full-thickness of the abdominal wall, including the peritoneum. Early debridement, exploratory laparotomy and temporary restoration of the excised abdominal wall with a fascial prosthesis were carried out at 6 h post-burn. The bilateral upper and right lower limbs were amputated on the 10th post-burn day. The patient developed a 4x4 cm duodenocutaneous fistula on the 28th post-burn day, but was free of peritonitis. After 5 months of the conservative treatment, the fistula closed, and the abdominal wall defect was reconstructed with a free latissimus dorsi musculocutaneous flap. One month later, the patient was discharged following an uneventful recovery.
Honda
T
T
Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Hiro-o General Hospital, Japan. h320418@tkb.att.ne.jp
Yamamoto
Y
Y
Mizuno
M
M
Mitsusada
M
M
Nakazawa
H
H
Sasaki
K
K
Nozaki
M
M
D000009:Abdominal Muscles / Q000293:injuries* / Q000601:surgery*; D000293:Adolescent; D002058:Burns, Electric / Q000601:surgery*; D006801:Humans; D008297:Male; D012074:Remission Induction; D014781:Viscera / Q000293:injuries* / Q000601:surgery*