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Weledji EP, Elong A, Verla V. Secondary repair of severe chronic fourth-degree perineal tear due to obstetric trauma. J Surg Case Rep. 2014;2014(5)doi: 10.1093/jscr/rju034.
Weledji, E. P., Elong, A., & Verla, V. (2014). Secondary repair of severe chronic fourth-degree perineal tear due to obstetric trauma. Journal of surgical case reports, 2014(5), . https://doi.org/10.1093/jscr/rju034
Weledji, Elroy P, et al. "Secondary repair of severe chronic fourth-degree perineal tear due to obstetric trauma." Journal of surgical case reports vol. 2014,5 (2014). doi: https://doi.org/10.1093/jscr/rju034
Weledji EP, Elong A, Verla V. Secondary repair of severe chronic fourth-degree perineal tear due to obstetric trauma. J Surg Case Rep. 2014 May 13;2014(5). doi: 10.1093/jscr/rju034. PMID: 24876506; PMCID: PMC4018763.
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J Surg Case Rep. 2014 May 13;2014(5). doi: 10.1093/jscr/rju034.

Secondary repair of severe chronic fourth-degree perineal tear due to obstetric trauma.

Journal of surgical case reports

Elroy P Weledji, Adolphe Elong, Vincent Verla

Affiliations

  1. Clinical Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon [email protected].
  2. Obstetrics, Faculty of Health Sciences, University of Buea, Cameroon.
  3. Anaesthesia and Critical Care, Faculty of Health Sciences, University of Buea, Cameroon.

PMID: 24876506 PMCID: PMC4018763 DOI: 10.1093/jscr/rju034

Abstract

Obstetric injury is the commonest cause of anal incontinence. We report a case of anal incontinence as a result of severe chronic fourth-degree perineal tear secondary to birthing with complete disruption of the perineum. Secondary repair consisting of an anterior sphincter repair and levatorplasty in a poor resourced area rendered excellent immediate clinical result. The outcome of anterior sphincter repair following obstetric trauma is good but long-term follow-up is required because of the underlying complexity of obstetric injury. As prevention is not always possible, immediate recognition and adequate primary treatment is of importance.

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2014.

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