title: Visceral injury in electrical shock trauma: proposed guideline for the management of abdominal electrocution and literature review.
abstract: Victims of electrical burns account for approximately 5% of admissions to major burn centers. The first case of visceral injury caused by electrical burns was described in 1927 by Simonin, who reported perforation of the small intestine. Other rare cases were reported over the following years. The colon and small intestine were the organs most frequently affected. Less frequently involved organs were the heart, esophagus, stomach, pancreas, liver, gallbladder, lung, and kidney. We highlight the potential fatal visceral injuries after the electrical trauma. This study provides a review on this topic and proposes a management flowchart that should be adopted by the multidisciplinary team to treat these patients.
  
  
  CONCLUSIONS
  Visceral injuries are rare in electrical burns victims, but it can be severe and are associated with high rates of morbidity and mortality, sometimes requiring a more interventional approach.
authors.affiliation: Division of Plastic Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo Brazil.
authors.forename: Evelyne Gsc
authors.initials: EG
authors.lastname: Marques
authors.affiliation: Emergency Surgery and Trauma, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo Brazil.
authors.forename: Gerson A Pereira
authors.initials: GA
authors.lastname: Júnior
authors.affiliation: Division of Plastic Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo Brazil.
authors.forename: Bruno F Muller
authors.initials: BF
authors.lastname: Neto
authors.affiliation: Department of Pathology, Ribeirão Preto Medical School, University of São Paulo Brazil.
authors.forename: Rodrigo A
authors.initials: RA
authors.lastname: Freitas
authors.affiliation: Department of Pathology, Ribeirão Preto Medical School, University of São Paulo Brazil.
authors.forename: Lygia B
authors.initials: LB
authors.lastname: Yaegashi
authors.affiliation: Division of Plastic Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo Brazil.
authors.forename: Carlos E Fagotti
authors.initials: CE
authors.lastname: Almeida
authors.affiliation: Division of Plastic Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo Brazil.
authors.forename: Jayme Adriano Farina
authors.initials: JA
authors.lastname: Júnior
keywords: Electrical burn; electrical shock; pancreatic injuries; visceral injuries