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
Table 1 Data of the included studies.
| Case reports | Mode of delivery | Type of injury | Type of repair |
|---|---|---|---|
| Chen et al, 2023 []13 | SVD | ||
| Ngene et al, 2023 []11 | SVD | ||
| Djaković et al, 2022 []3 | SVD | NM | |
| Djaković et al, 2022 []3 | SVD | ||
| Vatanchi et al, 2022 []4 | VAD | ||
| Tunney et al, 2022 []2 | Twin delivery VAD and forceps | ||
| Tunney et al, 2022 []2 | Forceps | ||
| Awomolo et al, 2021 []12 | SVD | ||
| Roper et al, 2020 []1 | VAD | ||
| Roper et al, 2020 []1 | Forceps | ||
| Roper et al 2020 []1 | Forceps | ||
| Mercorio et al, 2020 []14 | SVD | ||
| Habek et al, 2020 []9 | NM | ||
| Habek et al, 2020 []9 | NM | ||
| Habek et al, 2020 []9 | NM | ||
| Habek et al, 2020 []9 | NM | ||
| Anzai et al, 2016 []15 | SVD | ||
| Diepenhorst et al, 2012 []5 | Breech SVD | ||
| Vergers-Spooren et al, 2011 []6 | Breech SVD | ||
| Shaaban et al, 2008 []17 | VAD | ||
| Thirumagal et al, 2007 []16 | SVD | ||
| Byrne et al, 2006 []7 | VAD | ||
| Morrel et al, 1996 []8 | VAD | ||
| Morrel et al, 1996 []8 | VAD | ||
| Morrel et al, 1996 []8 | SVD | NM | |
| Morrel et al, 1996 []8 | SVD | ||
| NM – not mentioned; ORBT – obstetric rectal button tear; SVD – spontaneous vaginal delivery; VAD – vacuum-assisted delivery. | |||