Affiliation:
1. Department of Acute Critical Care Medicine Tsuchiura Kyodo General Hospital Tsuchiura Japan
2. Department of Gastroenterological Surgery Tsuchiura Kyodo General Hospital Tsuchiura Japan
3. Department of Acute Critical Care and Disaster Medicine, Graduate School of Medicine and Dental Sciences Tokyo Medical and Dental University Tokyo Japan
4. Department of Emergency and Critical Care Medicine National Hospital Organization Disaster Medical Center Tachikawa Japan
Abstract
AbstractBackgroundAnorectal 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 PresentationA 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.ConclusionWe 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.
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