As the popularity of the personal watercraft (PWC) or Jet Ski increases, injuries suffered from the usage of them become more common. Most severe injuries in this setting are typically related to blunt head trauma. Here we present an unusual case of hydrostatic injury to the rectum and sigmoid colon due to exposure to a high-pressure jet stream of water in a passenger thrown from the rear of a PWC. In addition, a review of the literature of similar cases is briefly discussed. (Hong Kong j.emerg.med. 2014;21:322-325)
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