Table 1.

Reported cases of anorectal injuries related to PWC use

Reference	Year	Age/sex	Driver or passenger	Clothing	Situation/trigger	Injury	Sphincter injury	Treatment	Outcome
[4]	1998	14/F	Passenger	NA	Turbulence	Laceration in the rectum Dissection of the bowel wall Perforation of the recto-sigmoid colon	−	Resection Sigmoid end colostomy	Alive
[5]	1999	15/F	Passenger	Swimwear	Sudden acceleration from rest	Perianal laceration 1 * 8-cm perforation of the rectal wall	+	Primary closure Sigmoid loop colostomy	Alive, colostomy closure (5 months later)
[6]	1999	30/F	Passenger	Swimwear	NA	4-cm laceration in the rectal wall	−	Sigmoid loop colostomy	Alive, colostomy closure (12 weeks later)
[3]	2003	16/M	Passenger	NA	NA	5-cm laceration in the wall of the sigmoid colon Perforation of the rectal wall 2-cm linear wound of the anus	−	Resection Primary anastomosis	Dead
[7]	2004	26/F	Passenger	NA	Traveling at high speeds	5 * 2.5-cm laceration in the rectal wall 13-cm laceration in the rectal wall communicating with the vagina 3-cm laceration in the vaginal fornix	−	Primary closure Sigmoid end colostomy	Alive, colostomy closure (12 weeks later)
[8]	2007	28/F	Passenger	NA	Traveling at high speeds	Perforation of the anorectal wall 5-cm serosal damage to the sigmoid colon	+	Primary closure Sigmoid loop colostomy	Alive, colostomy closure (3 months later)
[9]	2007	15/F	Passenger	NA	Sudden acceleration	Deep perineal laceration Complete anodermal dissection	+	Primary closure Sigmoid loop colostomy	Alive, colostomy closure (timing unknown)
[9]	2007	19/F	Passenger	NA	NA	3-cm laceration in the rectal wall Laceration in the rectal wall Perforation of the rectosigmoid colon	+	Sigmoid end colostomy	Alive, schedule for colostomy closure
[10]	2007	34/M	Passenger	NA	NA	Perforation of the rectal wall	−	Sigmoid loop colostomy	Alive, colostomy closure (10 weeks later)
[11]	2009	28/M	Passenger	Swimwear	Jumping the waves	Long superficial wound of the perineum 3-cm mucosal damage to the rectal wall	−	Sigmoid loop colostomy	Alive, colostomy closure (20 weeks later)
[12]	2011	14/F	Passenger	Swimwear	Traveling at high speeds	Perforation of the rectal wall	−	Primary closure End colostomy	Alive, colostomy closure (4 months later)
[13]	2012	20/M	Passenger	NA	Traveling at high speeds	5-cm perforation of the rectal wall	−	Laparoscopic end colostomy	Alive, colostomy closure (6 months later)
[14]	2014	27/F	NA	NA	Traveling at high speeds	5-cm laceration of the rectal wall Perforation of the rectum	+	Primary closure End colostomy	Alive, colostomy closure (3 months later)
Our case	2020	21/M	Passenger	Swimwear	Sudden acceleration from rest	Deep laceration in the rectal wall Perforation of the rectal wall	+	Primary closure Laparoscopic sigmoid loop colostomy	Alive, colostomy closure (4 months later)

NA not available