Rectal Laceration without Anal Sphincter Trauma - A Rare Com
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Introduction
Obstetric perineal and anal sphincter injuries have been well described. Perineal tears are divided into four grades according to the extent of the lesion. There is no separate classification for obstetrical rectal tears without injury to the perineum. To our knowledge the prevalence of these injuries has not been reported in the literature. Failure to recognize and repair perineal and rectal lacerations is associated with short and long-term morbidity as hemorrhage, perineal pain, dyspareunia, rectovaginal fistulae, perineal abscess, and incontinence of stool or flatus. With this case report, we would like to make the readers aware that a rectal lesion is a potential but rare complication of vaginal delivery. If it is recognised and treated properly, uneventful recovery is very well possible.

Case Presentation
A 29-year-old primigravida was admitted to the labour room at 38 5/7 weeks amenorrhea for delivery with frank breech presentation. She was referred to us from primary care by the independent midwife at a gestational age of 35 weeks because of breech presentation. Her medical history was uneventful. External cephalic version was unsuccessful, and after counselling a vaginal delivery was accepted.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335616/
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