High-pressure water jet devices used in car wash facilities operate at pressures between 1200 and 1900 psi and are known to cause severe extremity injuries [1]. Intra-ab-dominal solid organ injuries related to this mechanism are extremely rare and may be overlooked because of minimal external findings, potentially leading to delays in diagnosis. A 25-year-old male car wash worker presented with severe epigastric pain after accidental exposure to a high-pressure water spray device. Physical examina-tion revealed a small dermal abrasion and a punctate entry wound. The patient was hemodynamically stable. Abdominal computed tomography demonstrated a Grade II liver laceration involving segments III and IVa according to the AAST liver injury scale. Nonoperative management was performed. High-pressure water jet injuries may cause clinically significant intra-abdominal solid organ damage despite minimal skin findings. Early imaging should be considered in suspicious cases. Nonoperative management is effective in hemodynamically stable patients.
Keywords: Abdominal trauma, high-pressure water jet, liver injury, nonoperative management.
