Water-ski douche injury in a premenarcheal female

In the last 15 years, seven cases of deep vaginal lacerations after the so-called water-skiing douche have been reported.1-4 We report the first such case in the premenarcheal girl. CASE REPORT A 9-year-old girl, Tanner stage 2, in otherwise excellent health, was transferred to Kosair Children's Hospital (Louisville, KY) after falling while water skiing and sustaining an injury producing persistent vaginal bleeding. This young girl was on her fifth trial of being up on water skis. She was wearing a single-layer, one-piece cloth bathing suit. The boat was traveling approximately 40 to 50 mph. She never was able to reach a full standing position.