Citation

Gauthier I, Clancy AA, Lipson J, Pascali D. J. Obstet. Gynaecol. Can. 2018; 40(7): 926-930.

Affiliation

The Ottawa Hospital, University of Ottawa, Ottawa, ON. Electronic address: dpascali@toh.on.ca.

Copyright

(Copyright © 2018, Healthcare & Financial Pub., Rogers Media)

DOI

10.1016/j.jogc.2017.12.007

PMID

29921429

Abstract

BACKGROUND: Vaginal injury can result from entry of water into the vagina under high pressure. Previously reported cases describe water-jet vaginal injuries in women participating in water-related activities, including: water skiing, personal watercraft use, waterslides, water hose and fountains, with and without foreign body in situ. CASE: We describe the case of a severe vaginal laceration and hemorrhage in a 44-year-old female from a high-pressure water-jet generated during a water-ski fall requiring operative repair. Timely management resulted in excellent patient outcome.

CONCLUSION: A literature review demonstrated that, although uncommon, watersport-related gynaecologic injuries can be life-threatening, and women who regularly engage in watersports can be counselled regarding potential preventative measures. Physicians encountering patients with these injuries should rule out intraperitoneal injury and consider benefits of antibiotics.

Copyright © 2018 Society of Obstetricians and Gynaecologists of Canada. Published by Elsevier Inc. All rights reserved.

Language: en

Keywords

Vaginal injuries; athletic injuries; lacerations; water