Y Al-Habbal1, R Brouwer. 1. Department of Surgery, Austin Hospital, Melbourne, Level 8 Lance Townsend Building, 145 Studley Rd, Heidelberg, VIC 3084, Australia. yahya@alhabbal.info
Abstract
INTRODUCTION: The use of motorised watercrafts has been increasing steadily over the past few years, and consequently, also injuries secondary to the use of these watercrafts [1]. METHOD: This is a case presentation and review of literature. We present a case of isolated extraperitoneal rectal perforation secondary to hydrostatic pressure sustained. Both PubMed and Web of Science were searched using the following keywords: rectal perforations; intra-peritoneal; extra-peritoneal; motorised watercraft; and Jet Ski. RESULTS: We found two similar rectal injuries caused by motorised watercrafts, but both were intraperitoneal rectal perforations. To our knowledge, this is the first reported case of extra-peritoneal rectal perforation after falling off a motorised watercraft. On the other hand, vaginal perforation after such a trauma is well documented in many series. CONCLUSION AND RECOMMENDATION: 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.
INTRODUCTION: The use of motorised watercrafts has been increasing steadily over the past few years, and consequently, also injuries secondary to the use of these watercrafts [1]. METHOD: This is a case presentation and review of literature. We present a case of isolated extraperitoneal rectal perforation secondary to hydrostatic pressure sustained. Both PubMed and Web of Science were searched using the following keywords: rectal perforations; intra-peritoneal; extra-peritoneal; motorised watercraft; and Jet Ski. RESULTS: We found two similar rectal injuries caused by motorised watercrafts, but both were intraperitoneal rectal perforations. To our knowledge, this is the first reported case of extra-peritoneal rectal perforation after falling off a motorised watercraft. On the other hand, vaginal perforation after such a trauma is well documented in many series. CONCLUSION AND RECOMMENDATION: 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.