title: Vaginal injury from a water slide in a premenarcheal patient.
abstract: BACKGROUND
  Water under high pressure can produce vaginal injury. Previous reports suggest that postmenarcheal maturation and the presence of a vaginal foreign body contributed to water slide injuries in women.
  
  
  METHODS
  A case of a vaginal injury from a water slide in a premenarcheal patient is presented. A literature review of water-related vaginal injuries in adults and children compares the mechanism of injury with that previously reported.
  
  
  RESULTS
  The patient underwent operative repair of her injury.
  
  
  CONCLUSIONS
  Vaginal injury in premenarcheal patients may result from a water slide. The emergency physician must be aware of this potential injury mechanism and the need for complete examination under anesthesia when vaginal bleeding is present.
authors.affiliation: Department of Pediatrics, University of Utah School of Medicine, Primary Children's Medical Center, Salt Lake City 84113, USA.
authors.forename: N C
authors.initials: NC
authors.lastname: Kunkel
mesh_terms: D000293:Adolescent; D000328:Adult; D001265:Athletic Injuries / Q000209:etiology*; D002648:Child; D005260:Female; D006801:Humans; D008572:Menarche; D010988:Play and Playthings; D011247:Pregnancy; D011312:Pressure; D014621:Vagina / Q000293:injuries*; D014867:Water
chemical_list: D014867:Water