Rare Case of High Voltage Electric Injury Resulting in Bowel Perforation: A Successful Management with Diversion Colostomy

Authors

  • Mohamed Arsath Shamsudeen Department of Surgery, Faculty of Medicine, MAHSA University, Bandar Saujana Putra, 42610 Jenjarom, Selangor, MALAYSIA
  • Uday Singh Dadhwal Department of Surgery, Faculty of Medicine, MAHSA University, Bandar Saujana Putra, 42610 Jenjarom, Selangor, MALAYSIA https://orcid.org/0000-0003-0253-5263
  • Suresh V Chinni Department of Periodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai 602105, INDIA

DOI:

https://doi.org/10.22452/mjs.vol44sp1.12

Keywords:

Electric injury, descending colon perforation, diversion colostomy

Abstract

Electrical injuries are categorized into low-voltage injuries (<1 kilovolt) and high-voltage injuries (>1 kilovolt). Electrical injuries usually present with an entry wound at the site of contact and an exit wound where the current leaves the body. Bowel perforation caused by an electric current is a rare but serious complication. We report a case of a high-voltage electric burn with entry wounds on both hands and an exit wound on the right foot, complicated by descending colon perforation, which presented late with peritonitis. The patient was successfully treated with a diversion colostomy and subsequent takedown. This case highlights the potential for significant internal injuries, such as bowel perforation, following high-voltage electrical injuries and emphasizes the importance of timely surgical intervention for such complications.

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References

Williams, L. J., Zolfaghari, S., & Boushey, R. P. (2010). Complications of enterocutaneous fistulas and their management. Clinics in Colon and Rectal Surgery, 23(3), 209–220. https://doi.org/10.1055/s-0030-1263062

Lee, R. C. (1997). Injury by electrical forces: Pathophysiology, manifestations, and therapy. Current Problems in Surgery, 34(9), 677–764. https://doi.org/10.1016/S0011-3840(97)80007-X

Haberal, M., Ucar, N., Bayraktar, U., & Oener, R. (1996). Severe complications in electrical burns (including visceral complications). Annals of Burns and Fire Disasters, 9(3), 149–152. http://www.medbc.com/annals/review/vol_9/num_3/text/vol9n3p149.htm

Sharma, M., Kaundal, P., Sharma, P., & Chaudhary, R. (2015). Electric current causing sigmoid perforation: Case report. Annals of International Medical and Dental Research, 1(1), 39–40. https://www.researchgate.net/publication/275215029_Electric_Current_Causing_Sigmoid_Perforation_Case_Report

Goyal, D., Dhiman, A., Jagne, N., & Rattan, A. (2020). Delayed bowel perforation in electrocution: An unpredictable foe. Trauma Case Reports, 30, 100377. https://doi.org/10.1016/j.tcr.2020.100377

Handaya, A. Y., Seswandhana, M. R., Vityadewi, N., Susilo, N. C. J., Subroto, P. D., & Aditya, A. F. K. (2024). Multiple ileal perforations as late complications of electrical injury: A rare case report. Trauma Case Reports, 51, 101006. https://doi.org/10.1016/j.tcr.2024.101006

Reddy, M. V., Gorantla, R., & Mandapati, M. R. (2023). A rare case of small bowel gangrene and perforation following high-voltage electrical injury. Case Reports in Clinical Radiology, 1(2), 140–143. https://doi.org/10.25259/CRCR_8_2023

Fadel, M. G., Iskandarani, M., Cuddihy, J., Jones, I., Collins, D., & Kontovounisios, C. (2021). Colonic perforation following major burns: Experience from a burns center and a systematic review. Burns, 47(6), 1241–1251. https://doi.org/10.1016/j.burns.2021.04.018

Lopez, O. N., Bohanon, F. J., Radhakrishnan, R. S., & Chung, D. H. (2018). Surgical management of complications of burn injury. In Total Burn Care (pp. 386–395). https://doi.org/10.1016/B978-0-323-47661-4.00036-8

Buja, Z., Arifi, H., & Hoxha, E. (2010). Electrical burn injuries: An eight-year review. Annals of Burns and Fire Disasters, 23(1), 4–7. https://pmc.ncbi.nlm.nih.gov/articles/PMC3188243/

Nasr, B., Gazem, S. K., & Al-Gahafy, R. S. (2025). Small bowel perforation resulting from a lightning strike injury: A case report. Open Access Surgery, 15, 167–172. https://doi.org/10.2147/OAS.S488262

Ai, Z., Jiao, Y., Chenyu, L., Tian, Z., Haoran, Z., & Junjie, C. (2024). Treatment methods and clinical efficacy of penetrating high-voltage electric burns to the thoracoabdominal wall. Zhonghua Shaoshang yu Chuangmian Xiufu Zazhi (Chinese Journal of Burns & Wound Repair), 40(8), 732–739. https://doi.org/10.3760/cma.j.cn501225-20240429-00157

Kasana, R. A., Baba, P. U. F., & Wani, A. H. (2016). Pattern of high-voltage electrical injuries in the Kashmir Valley: A 10-year single-centre experience. Annals of Burns and Fire Disasters, 29(4), 259–264. https://pmc.ncbi.nlm.nih.gov/articles/PMC5347316/

Butler, E. D., & Gant, T. D. (1977). Electrical injuries, with special reference to the upper extremities: A review of 182 cases. The American Journal of Surgery, 134(1), 95–101. https://doi.org/10.1016/0002-9610(77)90290-2

Sokhal, A. K., Lodha, K. G., Kumari, M., Paliwal, R., & Gothwal, S. (2017). Clinical spectrum of electrical burns: A prospective study from the developing world. Burns, 43(1), 182–189. https://doi.org/10.1016/j.burns.2016.07.019

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Published

12-12-2025

How to Cite

Mohamed Arsath Shamsudeen, Uday Singh Dadhwal, & Suresh V Chinni. (2025). Rare Case of High Voltage Electric Injury Resulting in Bowel Perforation: A Successful Management with Diversion Colostomy. Malaysian Journal of Science (MJS), 44(sp1), 79–82. https://doi.org/10.22452/mjs.vol44sp1.12

Issue

Vol. 44 No. sp1 (2025): Special Issue: MAHSA International Medical Sciences and Technology Conference (Mi-Med) 2024

Section

Special Issue - Mi-Med 2024

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