Aim and background: Electrical burn injuries are among the most severe forms of injury due to their high morbidity and mortality rates. They can significantly damage vital organs, with severity influenced by electric voltage, body resistance, and contact duration. In our country, they most commonly affect the extremities and the scalp. Electrical contact injury to the neck is an uncommon presentation and poses a challenge to treat due to critical structures in the neck and cervical region. Case description: A 24-year-old male sustained a high-voltage electrical contact burn to the neck and both feet. He initially presented with normal airway, breathing, and circulation (ABC) and developed severe airway complications after 24 hours. This delayed onset of significant glottic and laryngeal edema underscores the importance of vigilant monitoring and preemptive airway management in patients with electrical contact injuries to the neck. Conclusion: Continuous monitoring and early intervention are crucial in electrical contact injuries to the neck due to the risk of insidious airway edema. Prolonged observation beyond 48 hours is necessary to prevent life-threatening complications. Clinical significance: Direct electrical contact injuries to the neck are uncommon. There is limited literature regarding their management. Contrary to burns to the head and neck leading to inhalational injury, which are common, we have clear-cut guidelines to secure a definitive airway early. A benign-appearing electrical contact injury to the neck with a normal airway examination can subsequently lead to life-threatening airway obstruction.