Book review

https://doi.org/10.20471/acc.2022.61.03.20

Obstetric Injury of the Rectum with Intact Anal Sphincter – Two Case Reports

Ivka Djaković ; Clinic for Gynecology, Bethesda Hospital, Basel, Switzerland
Amir Ibukić ; Department od Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Dujo Kovačević ; Department od Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Vesna Košec ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

Abstract

Background: Injury of the rectum with intact anal sphincter is an extremely rare
but very serious complication of vaginal delivery. It is also called a “buttonhole” tear.
Case: We present two cases of “buttonhole” tear/injury.
Results: In one case, the injury was recognized at the time of delivery and adequately treated. In
the other case the injury was not diagnosed on time and the patient was treated for complications on
the 6th postpartal day.
Conclusion: The consequences for the wellbeing of young mothers with perineal injury can be serious
and affect social and sexual aspects of their lives. Adequate surgical treatment and postoperative
care assure optimal results and prevent long term complications such as fistulas or fecal incontinence.

Keywords

Fourth Degree Perineal Laceration; “Buttonhole” tear; Perineal Injury

Hrčak ID:

296215

URI

https://hrcak.srce.hr/296215

Publication date:

1.11.2022.

Article data in other languages: croatian

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