OBSTETRIC INJURY OF THE RECTUM WITH INTACT ANAL SPHINCTER – TWO CASE REPORTS

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 a...

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Autores principales: Djaković, Ivka, Ibukić, Amir, Kovačević, Dujo, Košec, Vesna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sestre Milosrdnice University Hospital and Institute of Clinical Medical Research, Vinogradska cesta c. 29 Zagreb 2022
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10364094/
https://www.ncbi.nlm.nih.gov/pubmed/37492364
http://dx.doi.org/10.20471/acc.2022.61.03.20
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author Djaković, Ivka
Ibukić, Amir
Kovačević, Dujo
Košec, Vesna
author_facet Djaković, Ivka
Ibukić, Amir
Kovačević, Dujo
Košec, Vesna
author_sort Djaković, Ivka
collection PubMed
description 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.
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spelling pubmed-103640942023-07-25 OBSTETRIC INJURY OF THE RECTUM WITH INTACT ANAL SPHINCTER – TWO CASE REPORTS Djaković, Ivka Ibukić, Amir Kovačević, Dujo Košec, Vesna Acta Clin Croat Case Reports 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. Sestre Milosrdnice University Hospital and Institute of Clinical Medical Research, Vinogradska cesta c. 29 Zagreb 2022-11 /pmc/articles/PMC10364094/ /pubmed/37492364 http://dx.doi.org/10.20471/acc.2022.61.03.20 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND) 4.0 License.
spellingShingle Case Reports
Djaković, Ivka
Ibukić, Amir
Kovačević, Dujo
Košec, Vesna
OBSTETRIC INJURY OF THE RECTUM WITH INTACT ANAL SPHINCTER – TWO CASE REPORTS
title OBSTETRIC INJURY OF THE RECTUM WITH INTACT ANAL SPHINCTER – TWO CASE REPORTS
title_full OBSTETRIC INJURY OF THE RECTUM WITH INTACT ANAL SPHINCTER – TWO CASE REPORTS
title_fullStr OBSTETRIC INJURY OF THE RECTUM WITH INTACT ANAL SPHINCTER – TWO CASE REPORTS
title_full_unstemmed OBSTETRIC INJURY OF THE RECTUM WITH INTACT ANAL SPHINCTER – TWO CASE REPORTS
title_short OBSTETRIC INJURY OF THE RECTUM WITH INTACT ANAL SPHINCTER – TWO CASE REPORTS
title_sort obstetric injury of the rectum with intact anal sphincter – two case reports
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10364094/
https://www.ncbi.nlm.nih.gov/pubmed/37492364
http://dx.doi.org/10.20471/acc.2022.61.03.20
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