Question 46
0
A 24-year-old woman reports feculent vaginal discharge 8 months after spontaneous vaginal delivery complicated by a 4th-degree perineal laceration, which was previously repaired. Physical examination reveals a 3-mm rectovaginal fistula 2 cm proximal to the anal verge with significant thinning of the perineal body and a palpable sphincter defect anteriorly. Endoanal ultrasound confirms a 90° defect of the external sphincter at the anterior midline. The best next step in management is
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Citation
"Question 46." CARSEP XII, ASCRS U, www.ascrsu.com/ascrs/view/CARSEP XII/3094046/all/Anorectal_Disease. Accessed 22 April 2026.
Question 46. CARSEP XII. https://www.ascrsu.com/ascrs/view/CARSEP XII/3094046/all/Anorectal_Disease. Accessed April 22, 2026.
Question 46. In CARSEP XII https://www.ascrsu.com/ascrs/view/CARSEP XII/3094046/all/Anorectal_Disease
Question 46 [Internet]. In: CARSEP XII. [cited 2026 April 22]. Available from: https://www.ascrsu.com/ascrs/view/CARSEP XII/3094046/all/Anorectal_Disease.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Question 46
ID - 3094046
BT - CARSEP XII
UR - https://www.ascrsu.com/ascrs/view/CARSEP XII/3094046/all/Anorectal_Disease
DB - ASCRS U
DP - Unbound Medicine
ER -
CARSEP XII

