A Rare Non-penetrant Abdominal Wall Injury Caused by High-pressure Water: A Case Report

Author(s): Cigdem Ozer Gokaslan* , Serkan Gokaslan , Ugur Toprak .

Journal Name: Current Medical Imaging

Volume 15 , Issue 6 , 2019

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Graphical Abstract:


Background: High-pressure water jet injuries are an uncommon cause of trauma. Highpressure water injuries are usually seen at the extremities and less often in the thorax and abdominal areas. A review of the literature reveals a few case reports describing intraabdominal injuries due to penetrating trauma. İn this paper, we present the radiological findings of a rare case of abdominal wall injury without penetration of peritoneum caused by high-pressure water jet due to the Coanda effect. The Coanda effect is the tendency of a fluid jet to stay attached to a curved.

In our case, the peritoneum also functions as flat and curved surface, causing non-penetrant abdominal wall injury.

Case Report: A 28-year-old male working at a hydroelectric terminal presented to the emergency department with abdominal pain and a two-centimeter cutaneous gap in the left lower quadrant of the abdomen caused by high-pressure water.

The CT findings revealed a small entrance to left lower quadrant of the abdominal wall and extensive subcutaneous injury. There was no internal injury. The cutaneous gap was managed by primary surgical closure. Subcutaneous emphysema was diminished on the follow up physical examination. The patient was recovered without sequelae.

Conclusion: The water jet can cause a wide subcutaneous injury by following the peritoneum even though there is a small entrance. Therefore radiological imaging can help to determine their severity and planning treatment.

Keywords: Water jet injury, abdominal trauma, the Coanda effect, fluid jet, thorax, peritoneum.

Go SJ, Sul YH, Ye JB, Choi JH, Kim JS. Intraperitoneal injury due to a high-pressure water jet. Trauma Monthly 2016; 22(6)e39700
Kessel B, Eilam D, Ashkenazi I, Alfici R. Severe hydroblast intra-abdominal injuries due to high-pressure water jet without penetration of abdominal cavity. Injury Extra 2005; 36: 82-3.
Kwong QT, Khandwala M. Corneal Descemet’s membrane rupture in a patient sustaining high-pressure water jet injury. Can J Ophthalmol 2015; 50: e35-6.
Salminen L, Ranta A. Orbital laceration caused by blast of water: report of two cases. Br J Ophthalmol 1983; 67(12): 840-1.
Lacy J, Brennand E, Ornstein M, Allen L. Vaginal laceration from a high-pressure water jet in a prepubescent girl. Pediatr Emerg Care 2007; 23(2): 112-4.
Schoo MJ, Scott FA, Boswick JA. High-pressure injections of the hand. J Trauma 1980; 20(3): 229-38.
Gardner AW. High pressure water injury. Trans Soc Occup Med 1966; 16(1): 30.
Neill RW, George B. Penetrating intra-abdominal injury caused by highpressure water jet. Br Med J 1969; 2: 357-8.
Dabrowski Z, Nagay B, Szacillo A. Abdominal injury caused by jet of water under pressure. Pol Przegl Chir 1974; 46: 167-8.
De Beaux JL. High-pressure water jet injury. Br Med J 1980; 280: 1417-8.
Estrera AL, Aucar JA, Wall MJ Jr, Granchi TS, Mattox KL. Hydroblast injuries to the small bowel and inferior vena cava. J Trauma 1999; 47: 979-81.
Sharma OP, Oswanski MF. Hydroblast intra-abdominal organ trauma. J Emerg Med 2002; 22: 49-53.
Costello MW, Bolling RP, Gonzalez RP. Intra-abdominal injury as a result of high-pressure water injection. J Trauma 2008; 65: 222-4.
Marks W, Bialko M, Stasiak M, et al. Mixed hydroblast and missile injury with abdominal eventeration: Case Report. BMJ Case Rep 2009; 2009: bcr06.2008.0249.
Redmond CE, McEvoy SH, Ryan ER, Hoti E. Pancreatic transection as a result of a high-pressure water jet injury. BMJ Case Rep 2013; 2013
Magneson F. High-pressure Water Jet Injury to the Abdomen: A Case Report and Literature Review Occup Med Health Affairs 2014; 2: 4.
Radojevic N, Radnic B, Curovic I. Fatal Penetrating Injuries Sustained by High-pressure Water Jet Unit. J Forens Sci 2015; 60(6): 1652-3.
Tritton DJ. Physical Fluid Dynamics. Van Nostrand Reinhold 1977.
Ginghină C. The Coandă effect in cardiology. J Cardiovasc Med (Hagerstown) 2007; 8(6): 411-3.

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Article Details

Year: 2019
Page: [607 - 609]
Pages: 3
DOI: 10.2174/1573405614666181018115010
Price: $58

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