Abstract
A 38-year-old male came into contact with a 33, 000 volts electrode while working in the factory, and sustained electrical injury of the abdominal wall, both hands, and the right lower limb. The center of the abdominal wound was perforated, and an emergency laparotomy was performed. The burned portion of the small intestine was resected, the superficially burned area of the transverse colon was covered with omentum, and the necrotic and perforated area of the abdominal wall was resected. Continuous hemodiafiltration was started immediately after the operation to remove myoglobin and to prevent acute renal failure. Subsequently, the necrotic right lower limb was amputated above the knee and the necrotic right upper limb was amputated below the elbow. Moreover, late onset perforation of the transverse colon and remarkable expansion of the necrotic area of the abdominal wall occurred in the course of time, so irrigation of the large intestine through a tube cecostomy and irrigation of the opened abdominal wall were carried out to control infection. On hospital day 18, a right hemicolectomy and reconstruction of the abdominal wall were performed, and the patient's course after this operation was uneventful. He recovered and was discharged on hospital day 159, and was referred to another hospital in his home town for rehabilitation of the affected limbs.
