02 November 2025
: Case report 
Comprehensive Management of Obstetric Rectal Buttonhole Tears: Insights From a Case Report and Literature Analysis
Unusual clinical course, Mistake in diagnosis, Diagnostic / therapeutic accidents, Management of emergency care
Georgia Ilia
ABDEF 1*, Barbara Blöchlinger-Wegmann BDF 1, Theodoros Theodoridis CEF 2, Sophia Kudelka CDE 1, Dimitrios Chronas ACEF 1
DOI: 10.12659/AJCR.949098
Am J Case Rep 2025; 26:e949098
Figure 2 Layered surgical repair of an obstetric rectal buttonhole tear. Intraoperative view showing the 3 anatomical layers: rectal wall (yellow arrow), rectovaginal fascia (green arrow), and vaginal mucosa (white arrow). The image captures the completion of the first-layer (rectal wall) repair and the initiation of the second-layer (rectovaginal fascia) repair.