Expert Management of a Rare and Devastating Abdominal Trauma at Bombay Gastro & Cancer Institute, Bathinda
A 32-year-old male was brought to the emergency department after sustaining a high-voltage electrical injury followed by a fall from an electric pole. He arrived in a critical condition and required immediate resuscitation.
Clinical examination revealed gangrene of the left hand, a severe traumatic injury to the anterior abdominal wall, and evisceration of multiple loops of small intestine. The patient had a complete transection of the jejunum with active intra-abdominal bleeding, making it an immediately life-threatening surgical emergency.
Emergency Surgical Management
The patient was taken directly to the operating theatre, where Dr. Raman Garg, Consultant Surgical Gastroenterologist, Advanced GI, Laparoscopic & HPB Surgeon at Bombay Gastro & Cancer Institute, Bathinda, performed an emergency exploratory laparotomy.
During surgery, a completely transected segment of the jejunum was identified. After careful assessment of bowel viability, the damaged segment was resected, and a primary end-to-end jejunojejunal anastomosis was performed to restore intestinal continuity. The traumatic abdominal wall injury was meticulously repaired after achieving complete haemostasis and thorough abdominal lavage.
The operation successfully controlled the life-threatening injuries and restored the integrity of the gastrointestinal tract.
Postoperative Recovery
Despite the severity of the trauma, the patient made an excellent recovery.
- Early return of bowel function.
- Gradual progression to oral feeding.
- No major postoperative complications.
- Discharged in satisfactory condition on the 5th postoperative day.
Why This Case Is Important
High-voltage electrical injuries associated with major abdominal trauma are exceptionally rare and often involve multiple organ systems. Complete jejunal transection with bowel evisceration following electrical injury and a fall is an extremely uncommon surgical emergency associated with a high risk of mortality.
Successful management requires rapid resuscitation, timely exploratory laparotomy, meticulous bowel reconstruction, control of contamination and bleeding, and comprehensive postoperative care.
This case highlights Dr. Raman Garg's expertise in managing complex abdominal trauma, intestinal injuries, bowel perforations, emergency gastrointestinal surgery, and advanced reconstructive procedures, resulting in an excellent clinical outcome despite the severity of the injury.
Advanced Emergency Gastrointestinal and Trauma Surgery by Dr. Raman Garg
Dr. Raman Garg is a leading Surgical Gastroenterologist in Bathinda, with expertise in the treatment of abdominal trauma, intestinal perforation, bowel injuries, intestinal obstruction, perforation peritonitis, colorectal diseases, gallbladder disorders, liver diseases, pancreatic disorders, gastrointestinal cancers, abdominal wall reconstruction, and advanced laparoscopic surgery.
He routinely performs complex emergency gastrointestinal procedures, hepatopancreatobiliary (HPB) surgery, colorectal surgery, trauma surgery, and minimally invasive gastrointestinal operations using evidence-based surgical techniques.
Patients from Bathinda, Punjab, Haryana, Rajasthan, and neighbouring states seek treatment from Dr. Raman Garg for both emergency and elective gastrointestinal surgical conditions.
Patient: 32-year-old Male
Diagnosis: High-Voltage Electrical Injury with Fall from Electric Pole, Complete Jejunal Transection with Bowel Evisceration, Traumatic Anterior Abdominal Wall Injury, and Gangrene of the Left Hand
Procedures Performed: Emergency Exploratory Laparotomy, Resection of Transected Jejunum, Primary End-to-End Jejunojejunal Anastomosis, and Abdominal Wall Repair
Operating Surgeon: Dr. Raman Garg, Surgical Gastroenterologist, Advanced GI, Laparoscopic & HPB Surgeon, Bombay Gastro & Cancer Institute, Bathinda
Outcome: Successful emergency surgery with an uneventful recovery and discharge on the 5th postoperative day.
About Dr. Raman Garg
Dr. Raman Garg is a Consultant Surgical Gastroenterologist, Advanced GI, Laparoscopic and HPB Surgeon at Bombay Gastro & Cancer Institute, Bathinda. He specializes in gastrointestinal cancer surgery, liver, pancreas and bile duct surgery, colorectal surgery, hernia surgery, upper GI surgery, emergency abdominal surgery, and advanced minimally invasive procedures.
Patient identity has been withheld to maintain confidentiality. This case is shared for educational purposes with appropriate consent and privacy safeguards.
