Extra-peritoneal rectal perforation caused by water jet: a case report and literature review.
BACKGROUND
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].


METHODS
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.


CONCLUSIONS
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.
Al-Habbal
Y
Y
Department of Surgery, Austin Hospital, Melbourne, Level 8 Lance Townsend Building, 145 Studley Rd, Heidelberg, VIC 3084, Australia. yahya@alhabbal.info
Brouwer
R
R
D000058:Accidental Falls; D000328:Adult; D006801:Humans; D008297:Male; D011998:Recreation; D012007:Rectum / Q000293:injuries* / Q000601:surgery; D012421:Rupture; D012767:Ships; D055815:Young Adult