Citation

Okuzawa H, Endo A, Akutsu T, Suzuki K, Hoshi H, Kato S, Ito K, Otomo Y, Morishita K. Acute Med. Surg. 2024; 11(1): e972.

Copyright

(Copyright © 2024, Japanese Association for Acute Medicine, Publisher John Wiley and Sons)

DOI

10.1002/ams2.972

PMID

38881955

PMCID

PMC11176902

Abstract

BACKGROUND: Anorectal injury caused by personal watercraft (PWC)-related trauma is rare. However, PWC accidents have increased recently, and since patients tend to be younger, treatment strategies should consider anal function preservation in addition to saving lives. CASE PRESENTATION: A 30-year-old female patient who fell into the water when a PWC suddenly accelerated and injured her perineum with a forceful water jet was transported to our hospital. On examination, she was diagnosed with a traumatic rectal perforation with intraperitoneal findings and an anorectal injury. Emergency surgery, which involved direct suturing, temporary colostomy with intraoperative endoscopy for the rectal perforation, and anorectal reconstruction, was performed. The patient was discharged on postoperative day 19 without complications, and the colostomy was closed 5 months postoperatively.

CONCLUSION: We encountered a case of multiple noncontinuous anorectal injuries due to a PWC accident that was successfully treated using a combination of surgery and intraoperative endoscopy.

Language: en

Keywords

anorectal injury; endoscope; personal watercraft; rectal injury; rectal perforation