Severe Anorectal and Vaginal Injuries in a Jet Ski Passenger

Goldberg, Jay; Horan, Colleen; O'Brien, L.

doi:10.1097/01.ta.0000025320.08651.bd

Cited by 29 publications

(24 citation statements)

References 4 publications

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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.…”

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confidence: 63%

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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: 63%

“…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: 93%

Hydrostatic rectosigmoid perforation: a rare personal watercraft injury

Gill

Mangat

Al‐Adra

et al. 2011

Journal of Pediatric Surgery

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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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“…While this type of injury has been described previously, the majority of these described events have been of severe magnitude requiring extensive surgical interventions including laparotomy and/or colostomy. 2–4 It is probable that publication bias has over-estimated the severity of the typical case.…”

Section: Introductionmentioning

confidence: 99%

“…laparotomy). 2–4 Also, as the technology associated with radiologic imaging has improved, optimization of surgical planning can be affected, making the exact procedures needed more accurately predicted by the operative team.…”

Section: Introductionmentioning

confidence: 99%