Transanal wading pool suction-drain injury resulting in complete evisceration of the small intestine: case report and review of the literature


      Suction evisceration from a pool drain is a rare injury. This child presented with what appeared to be isolated perineal trauma. Ultimately, the patient was found to have complete transanal small bowel evisceration. Reported herein are the specifics of this case, along with a review of the relevant literature relating to this case.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Pediatric Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Plagata E.M.
        • Bitman K.L.
        Traumatic evisceration of intestinal loops through the anus.
        Ann Emerg Med. 1982; 11: 102-104
        • Cain W.S.
        • Howell C.G.
        • Ziegler M.Z.
        • et al.
        Rectosigmoid perforation and intestinal evisceration from transanal suction.
        J Pediatr Surg. 1983; 18: 10-13
        • Debeugny P.
        • Bonnevalle M.
        • Besson R.
        • et al.
        Lésion recto-sigmoïdienne par aspiration trans-anale.
        Chir Pediatr. 1990; 31: 191-194
        • Shorter N.A.
        • Woodell J.P.
        • Cole T.B.
        • et al.
        Suction-drain injury in a public wading pool.
        MMWR. 1992; 41: 333-335
        • Hultman C.S.
        • Morgan R.
        Transanal intestinal evisceration following suction from an uncovered swimming pool drain: case report.
        J Trauma. 1994; 37: 843-847
        • Gomez-Juarez M.
        • Cascales P.
        • Garcia-Olmo D.
        Complete evisceration of the small intestine through a perianal wound as a result of suction at a wading pool.
        J Trauma. 2001; 51: 398-399
        • Starzl T.E.
        • Rowe M.I.
        • Todo S.
        • et al.
        Transplantation of multiple abdominal viscera.
        JAMA. 1989; 261: 1449-1457
        • Goulet O.
        • Francisca J.
        • Corriol O.
        • et al.
        Some new insights in intestinal failure-associated liver disease.
        Curr Opin Organ Transplant. 2009; 14: 256-261

        • Davison A.
        • Puntis J.W.L.
        Awareness of swimming pool suction injury among tour operators.
        Arch Dis Child. 2003; 88: 584-586