Abdominal complications following electrical trauma are relatively infrequent. Most often gastric atony and adynamic ileus are seen. These complications usually resolve with nasogastric suction, intravenous fluid administration, nutrition, and time. More serious complications, such as gastrointestinal bleeding, acalculous cholecystitis, and rupture of colon, gall bladder, and other organs, have been reported. It is difficult to know whether all these processes are due to electricity or to the stresses of severe shock and systemic illness. If a contact point on the abdomen has caused a full-thickness burn, the wound should be excised surgically. If this wound includes the posterior fascia of the abdominal wall, then formal exploratory celiotomy should follow. Intraabdominal pathology may be present even without abdominal wall injuries, however. Systemic signs of sepsis or changes on serial physical examination of the abdomen should alert the clinician to intraabdominal pathology. White blood cell counts, liver function tests, amylase and lipase determinations, and examination of the abdomen by ultrasound, computed tomography (CT), MRI, and peritoneal lavage may be required in making the correct diagnosis and directing therapy. Virtually any abdominal catastrophe can be caused by electrical current, and thus the physician must be alert and respond appropriately to subtle clinical changes in abdominal signs and symptoms.9 If intraabdominal injury is not suspected, then enteral feedings should be instituted within 6 hours of admission, if possible.