Rectal Injury Caused by Personal Watercraft Accident

Descottes, B; Lachachi, F.; Moumouni, Issifou; Durand-Fontanier, Sylvaine; Geballa, Ramy

doi:10.1007/s10350-004-6695-x

Cited by 24 publications

(26 citation statements)

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“…It involves perforation of the rectum owing to the hydrostatic force of water exerted through the anal canal. Previously, 5 children with rectal injury associated with PWC in the United States and one in Europe have been described [2][3][4][5][6][7]. Our study presents the first case of rectosigmoid perforation secondary to PWC hydrostatic water injury in Canada.…”

mentioning

confidence: 64%

“…Personal watercraft-associated rectal injuries are exceedingly rare, with 6 reported cases described in the literature [2][3][4][5][6][7]. Rectal injuries are the result of forceful propulsion of water by PWC.…”

Section: Discussionmentioning

confidence: 95%

“…Descottes et al [3] describe a child in whom failure to assess for extraperitoneal rectal injury resulted in multiorgan failure and death. Repair of the full thickness rectal perforation remains an option.…”

Section: Discussionmentioning

confidence: 98%

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Hydrostatic rectosigmoid perforation: a rare personal watercraft injury

Gill

Mangat

Al‐Adra

et al. 2011

Journal of Pediatric Surgery

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mentioning

confidence: 64%

Section: Discussionmentioning

confidence: 95%

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Hydrostatic rectosigmoid perforation: a rare personal watercraft injury

Gill

Mangat

Al‐Adra

et al. 2011

Journal of Pediatric Surgery

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“…PWC‐associated injuries involving the pelvic and lower abdominal cavities can be difficult to identify and diagnose when the visible mucosa remains intact . Most of the individuals described in the cases reviewed here presented with vaginal/rectal bleeding and abdominal and vaginal/rectal pain.…”

Section: Discussionmentioning

confidence: 98%

Forensic Epidemiologic and Biomechanical Analysis of a Pelvic Cavity Blowout Injury Associated with Ejection from a Personal Watercraft (Jet‐Ski)

Freeman

Everson

Kohles

2012

Journal of Forensic Sciences

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Jet-propelled personal watercraft (PWC) or jet-skis have become increasingly popular. The means of propulsion of PWC, which is a jet of water forced out of small nozzle at the rear of the craft, combined with a high risk of falling off of the seat and into close proximity with the water jet stream, raise the potential for a unique type of injury mechanism. The most serious injuries associated with PWC falls are those that occur when the perineum passes in close proximity to the jet nozzle and the high-pressure water stream enters the vaginal or rectal orifice. We describe the forensic investigation into a case of an anovaginal "blowout" injury in a passenger who was ejected from the rear seat position of a PWC and subsequently suffered life-threatening injuries to the pelvic organs. The investigation included a biomechanical analysis of the injury mechanism, a summary of prior published reports of internal pelvic injuries resulting from PWC falls as well as other water sports and activities, and a comparison of the severity of the injuries resulting from differing mechanisms using the New Injury Severity Score (NISS). The mean (± standard deviation [SD]) NISS values for reported PWC injuries [not including the NISS of 38 in this case study] were 11.2 (± 9.5), while the mean value for reported water-skiing falls was half that of the PWC group at 5.6 (± 5.2). It was concluded that the analyzed injuries were unique to a PWC ejection versus other previously described non-PWC-associated water sport injuries. It is recommended that PWC manufacturers help consumers understand the potential risks to passengers with highly visible warnings and reduce injury risk with revised seat design, and/or passenger seat "deadman" switches.

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“…Both of these two cases were intra-peritoneal rectal perforations. One case ended with a fatality [4,5].…”

Section: Literature Reviewmentioning

confidence: 98%