Extra-peritoneal rectal perforation caused by water jet: a case report and literature review

Al-Habbal, Yahya; Brouwer, R J

doi:10.1007/s11845-010-0546-7

Cited by 8 publications

(16 citation statements)

References 7 publications

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“…Existen tres factores que evidencian la importancia de dicho mecanismo de lesión: por un lado, las embarcaciones pequeñas como las motos acuáticas son cada vez más accesibles a la comunidad y se están haciendo cada vez más frecuentes, 4 aumentando la incidencia de los traumatismos asociados a su uso. Por otra parte, algunos autores 5 creen que existe un subregistro importante de los THR. Por último, cabe mencionar que algunas lesiones de menor envergadura y sin perforación libre, pueden cursar con un cuadro oligosintomático y debemos tener un alto nivel de sospecha para su diagnóstico.…”

Section: Discussionunclassified

Reparación laparoscópica de lesión rectal por traumatismo hidrostático. Reporte de caso y revisión de la bibliografía.

Balmaceda¹

2021

Rev. Argent. Coloproctol.

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Introducción: Los traumatismos hidrostáticos rectales (THR) ocurren al ingresar un fluido a presión por el ano superando la resistencia de la pared rectal causando lesiones de variada gravedad. En la bibliografía se encontraron 16 casos de THR. El objetivo de este reporte es presentar un caso de THR con estallido de rectosigma manejado por vía laparoscópica. Caso clínico: Mujer de 19 años de edad, que consultó por dolor abdominal y proctorragia tras caída de moto acuática. En el examen físico se evidenciaban signos peritoneales y sangre en recto. Se realizó ecografía, rectosigmoidoscopía y laparoscopía diagnóstica constatando desgarro en cara anterior de recto intra y extraperitoneal. Se confeccionó rafia primaria y colostomía en caño de escopeta. Conclusión: Se presenta un caso de traumatismo de recto intra y extraperitoneal de etiología muy infrecuente, manejado íntegramente por vía laparoscópica. En los pacientes con este mecanismo de lesión es vital la presunción clínica, así como el examen proctológico y la rectosigmoidoscopía bajo anestesia. El manejo no difiere del resto de los traumatismos colorrectales, pudiendo utilizarse la cirugía laparoscópica.

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Section: Discussionunclassified

Reparación laparoscópica de lesión rectal por traumatismo hidrostático. Reporte de caso y revisión de la bibliografía.

Balmaceda¹

2021

Rev. Argent. Coloproctol.

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“…Therefore, the energy that these jets create is more than enough to create mucosal injuries and anorectal perforations [3,4]. We found only 13 reports of this type of trauma with a search of Pubmed from 1998 to May 2020 using the search words "personal watercraft" and "jet ski" (Table 1) [3][4][5][6][7][8][9][10][11][12][13][14]. As shown in Table 1, in three cases, including the present case, patients were injured during sudden acceleration not during highspeed driving.…”

Section: Discussionmentioning

confidence: 99%

Anorectal injury related to a personal watercraft: a case report and literature review

et al. 2020

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Background Douche injury is a rare consequence of water recreation activities. Generally, this type of trauma occurs when people fall into the water in a sitting position during high-speed activities such as using a personal watercraft (PWC). Here, we report a rare case of anorectal injury caused by water jets from a PWC during sudden acceleration from rest. Case presentation A 21-year-old male passenger on a PWC fell off backward from the rear seat when the craft suddenly accelerated. He fell into the water in a supine position with his legs open, and the water jets of the PWC struck his perineum directly. Thereafter, bleeding from the anus was seen, and he was transferred to our hospital. On physical examination, there was a deep laceration interrupting the external anal sphincter in the posterior rectal wall. Abdominal computed tomography revealed a full-layer perforation of the posterior rectal wall and leakage of feces into the extraperitoneal space, but intraperitoneal free air was not seen. Laparoscopic sigmoid loop colostomy and primary suturing of the sphincter and mucosa were performed. He did not have any complications and was discharged from our hospital 16 days after the surgery. His anal function was almost perfectly preserved, and his diverting colostomy was closed 4 months later. Conclusion Anorectal injuries related to PWCs can occur not only while traveling at high speeds, but also when suddenly accelerating from rest. A diverting colostomy should be performed for this type of trauma. In these trauma cases, clinicians must suspect complex and life-threatening anorectal injuries early.

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“…After two years the patient has full function of his rectum. Al-Habbal and Brouwer [12] present a similar case study of a 20 year old man who fell backwards off a PWC. He presented with immediate pain and pressure in the perineal area, scrotum and lower abdomen.…”

Section: Rare Injuriesmentioning

confidence: 93%

“…Similarly, Kim et al [4] recommend improved training for inexperienced users, stricture age requirements and improved equipment; including a better braking system and padding on the handlebars. Al-Habbal and Brouwer [12] concur that protective garments, an automatic shut-off switch for the passenger and the requirement of a safe boating certificate would improve PWC safety. Therefore, the key themes seem to be: (1) improved and regulated safety equipment; (2) improved education and training for new riders; (3) and improved safety features on the PWC.…”

Section: Safetymentioning

confidence: 99%

Epidemiology of Personal Watercraft Injuries

Gill

Whitlock²,

Jaw³

et al. 2012

J Trauma Treatment

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Extra-peritoneal rectal perforation caused by water jet: a case report and literature review

Abstract: Though there injuries are not very common, they can be life-threatening. Simple measures like wearing protective garments might be enough to prevent them. Complete defunctioning colostomy is better in these cases than partially defunctioning colostomy.

Cited by 8 publications

References 7 publications

Reparación laparoscópica de lesión rectal por traumatismo hidrostático. Reporte de caso y revisión de la bibliografía.

Reparación laparoscópica de lesión rectal por traumatismo hidrostático. Reporte de caso y revisión de la bibliografía.

Anorectal injury related to a personal watercraft: a case report and literature review

Epidemiology of Personal Watercraft Injuries

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