Complete evisceration of the small intestine through a perianal wound as aresult of suction at a wading pool

Damage of the pelvic floor can be caused by a variety of mechanisms, and tr ansanal evisceration resulting from barotrauma is unusual.(1-4) The frequen cy of lesions caused by suction from drains in swimming pools and aquatic p arks is increasing, probably as a result of increases in aspiration pressur es at such installations and inadequate security measures.(3-6) To our know ledge, perineal nontransanal evisceration caused by suction has not previou sly been described. We present a case of evisceration of the entire small i ntestine through a perianal wound caused by suction from a drain, with seve re intra-abdominal lesions. The patient survived but with an extreme case o f short-bowel syndrome, which necessitated parenteral nutrition even on his return home from the hospital.