A well-managed case of discontinuous anorectal injury caused by a personal watercraft treated by combining surgery and colonoscopy

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-06-14 DOI:10.1002/ams2.972

Hiraaki Okuzawa, Akira Endo, Tomohiro Akutsu, Keisuke Suzuki, Hiromasa Hoshi, Shunichiro Kato, Koji Ito, Yasuhiro Otomo, Koji Morishita

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Abstract

Background

Anorectal 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 Presentation

A 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.

Conclusion

We 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.

Abstract Image

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一例通过手术和结肠镜检查相结合治疗的个人水上摩托艇引起的间断性肛门直肠损伤，处理得当

背景与个人水上摩托（PWC）相关的创伤造成的肛门直肠损伤非常罕见。然而，近来水上摩托艇事故有所增加，而且由于患者往往比较年轻，因此治疗策略除了挽救生命外，还应该考虑保护肛门功能。病例介绍一位30岁的女性患者因水上摩托艇突然加速而落水，并被强大的水流冲伤会阴部，被送往我院。经检查，她被诊断为外伤性直肠穿孔，腹腔内有发现，并有肛门直肠损伤。急诊手术包括直接缝合、临时结肠造口术和直肠穿孔术中内窥镜检查，以及肛门直肠重建。患者于术后第 19 天出院，无并发症，术后 5 个月结肠造口关闭。结论我们遇到了一例因水上摩托艇事故导致的多发性非连续性肛门直肠损伤病例，采用手术和术中内窥镜相结合的方法成功治愈了患者。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.