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

Damage of the pelvic floor can be caused by a variety of mechanisms, and transanal evisceration resulting from barotrauma is unusual.(1-4) The frequency of lesions caused by suction from drains in swimming pools and aquatic parks is increasing, probably as a result of increases in aspiration pressures at such installations and inadequate security measures.(3-6) To our knowledge, perineal nontransanal evisceration caused by suction has not previously been described. We present a case of evisceration of the entire small intestine through a perianal wound caused by suction from a drain, with severe intra-abdominal lesions. The patient survived but with an extreme case of short-bowel syndrome, which necessitated parenteral nutrition even on his return home from the hospital.