@article{3102443, title = "Cloacal type defect of the anal canal following an obstetric anal sphincter trauma", author = "Stavros, S. and Papapanagiotou, I.K. and Zacharakis, D. and Migklis, K. and Mantzioros, R. and Domali, E. and Chatzipapas, I. and Drakakis, P. and Rodolakis, A.", journal = "Clinical Case Reports", year = "2021", volume = "9", number = "5", publisher = "John Wiley and Sons Inc", issn = "2050-0904", doi = "10.1002/ccr3.4309", keywords = "adult; anal canal; anus disease; anus injury; Article; birth weight; case report; clinical article; cloaca; digital rectal examination; dyspareunia; episiotomy; feces incontinence; female; female genital mutilation type III; human; maternal diabetes mellitus; obstetric anal sphincter trauma; perineum; postmaturity; risk factor; shoulder dystocia; sphincter; vagina; vaginal delivery", abstract = "Neglected severe obstetric anal sphincter injuries may result in fecal incontinence. It is of paramount importance to identify such injuries at the time of vaginal delivery and have appropriate surgical training for optimal anatomical restoration of the perineal structures. © 2021 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd." }