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Kim: Vaginal injury from a high-pressure water jet in a prepubescent girl
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2011; 54(3): 167-170.

Published online: 16 March 2011

DOI: https://doi.org/10.5468/KJOG.2011.54.3.167

Vaginal injury from a high-pressure water jet in a prepubescent girl

Young Ah Kim, MD

Department of Obstetrics and Gynecology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Corresponding author: Young Ah Kim, MD. Department of Obstetrics and Gynecology, Ilsan Paik Hospital, Inje University College of Medicine, 2240 Daehwa-dong, Ilsanseo-gu, Goyang 411-706, Korea. Tel: +82-31-910-7195, Fax: +82-31-910-7567, camanbal@paik.ac.kr

Received 8 December 2010       Revised 9 February 2011       Accepted 22 February 2011

Copyright © 2011. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Vaginal injuries due to high-pressure water jet have been associated with water-sports. Most of the cases reported in the literature have occurred in adults. I report a case of paediatric girl who experienced a vaginal injury with blood loss after sitting atop a water jet at fountain park. To the best of my knowledge, this is the first report of water jet douche injury in fountain park experienced by a prepubescent girl, not associated with water-sports. It is important for medical personnel to be aware that vaginal injury results from high pressure water jet.

Keywords: High pressure water jet, Fountain park, Vaginal injury, Prepubescent girl

Figures and Tables

Fig. 1
Pre-enhanced computer tomography (CT) images showed about 44.9×37.4×78.6 mm sized hematoma (arrow) in vagina (A). Post-enhanced CT image showed vaginal wall defect with air bubbles (arrow) at right fornix of vagina (B).
kjog-54-167-g001
Fig. 2
Ultrasound showed no apparent hematoma in vagina (arrow).
kjog-54-167-g002

References

1. Ramos JP, Carrison D, Phillips DL. Unusual vaginal laceration due to a high-pressure water jet. West J Med. 1998. 169:171–172.
2. McCarthy GF. Hazards of water-skiing. Med J Aust. 1969. 1:481.
3. Goldberg J, Horan C, O'Brien LM. Severe anorectal and vaginal injuries in a jet ski passenger. J Trauma. 2004. 56:440–441.
4. Kuntz WD. Water-ski spill and partial avulsion of the uterine cervix. N Engl J Med. 1983. 309:990.
5. Aho T, Upadhyay V. Vaginal water-jet injuries in premenarcheal girls. N Z Med J. 2005. 118:U1565.
6. Holloway GA, van der Merwe FJ. Vaginal vault tear following a high pressure douche. S Afr Med J. 1987. 72:886–887.
7. Kunkel NC. Vaginal injury from a water slide in a premenarcheal patient. Pediatr Emerg Care. 1998. 14:210–211.
8. Kalaichandran S. Vaginal laceration: a little-known hazard for women water-skiers. Can J Surg. 1991. 34:107–108.
9. Perlman SE, Hertweck SP, Wolfe WM. Water-ski douche injury in a premenarcheal female. Pediatrics. 1995. 96:782–783.
10. Niv J, Lessing JB, Hartuv J, Peyser MR. Vaginal injury resulting from sliding down a water chute. Am J Obstet Gynecol. 1992. 166:930–931.
11. Eder M, Bjelic-Radisic V, Luschin-Ebengreuth G, Lang U. Vaginal laceration in a premenarcheal girl after sliding down a water chute. Eur J Obstet Gynecol Reprod Biol. 2010. 150:103–104.
12. Morton DC. Gynaecological complications of water-skiing. Med J Aust. 1970. 1:1256–1257.
13. Rudoff JC. Vulvovaginal water-skiing injury. Ann Emerg Med. 1993. 22:1072.
14. Smith BL. Vaginal laceration caused by water skiing. J Emerg Nurs. 1996. 22:156–157.
15. Rodgers KG. The rational use of antimicrobial agents in simple wounds. Emerg Med Clin North Am. 1992. 10:753–766.
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