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Intrarectal tear from water skiing.

R Y Lee1, S Miller, C Thorpe

  • 1Department of Medicine, Kaiser Permanente Medical Center, Vallejo, California.

The American Journal of Gastroenterology
|May 1, 1992
PubMed
Summary
This summary is machine-generated.

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Water skiing can cause severe rectal injuries from high-pressure jet enemas. A case report details a deep rectal tear and hemorrhage, emphasizing the need for protective measures against such dangerous practices.

Area of Science:

  • Gastroenterology
  • Trauma Surgery

Background:

  • Rectal douche, or jet enema, involves using high-pressure water jets for colonic cleansing.
  • This procedure carries a significant risk of severe intra-abdominal and pelvic trauma.

Observation:

  • A case of intrarectal tear and hemorrhage occurred in a middle-aged woman after a fall while water skiing.
  • The injury was attributed to the use of a rectal douche.

Findings:

  • Colonoscopy revealed a deep rectal laceration.
  • Subsequent colostomy identified a full-thickness rectal laceration with extensive pelvic and retroperitoneal hematoma.

Implications:

  • This case highlights the potential dangers of high-pressure rectal enemas.
  • Recommendations include the use of protective apparel to prevent similar traumatic injuries.

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