title: A rare complication of a vaginal breech delivery.
abstract: Rectal lesions without anal sphincter trauma in childbirth are only sporadically described in literature. We describe the case of a 29-year-old primigravida who delivered a child in frank breech presentation. During the second stage of labour a foot presented transanally through a rectal laceration with intact anal sphincters. The laceration was repaired immediately after delivery in theatre. Follow-up visits showed a properly cured laceration and no complaints of incontinence or foul discharge.
authors.affiliation: Department of Obstetrics and Gynaecology, Sint Franciscus Gasthuis, Kleiweg 500, 3045 PM Rotterdam, The Netherlands.
authors.forename: H C
authors.initials: HC
authors.lastname: Vergers-Spooren
authors.forename: J W
authors.initials: JW
authors.lastname: de Leeuw