March 1966

Burn Wound Complication

Author Affiliations

From the Division of Surgery (Burn Unit) and the Hektoen Institute for Medical Research, Cook County Hospital, Chicago.

Arch Surg. 1966;92(3):403-404. doi:10.1001/archsurg.1966.01320210083017

THE COMPLICATIONS that occur following a severe burn are numerous and have been well described.1 They arise as a result of the tissue destruction, per se, from infection due to open wounds, and in specific areas, due to tissue and organ peculiarities.4

Complications arising in the gastrointestinal tract occur from the onset of the injury as paralytic ileus and acute gastric dilatation. Gastroduodenal ulceration develops most commonly during the 2nd to 15th day postburn. Fecal impactions are not uncommon in the burned patient and probably result from prolonged immobilization and dehydration.

This report is that of a patient with an unusual gastrointestinal complication secondary to a burn. The complication is unique in that it has not been previously reported, it could occur only in patients with a surgically correctable lesion that had not been corrected, and it occurred as a direct result of the burn.

Report of Case 

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