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Figure 12


Fig. 11 Three-dimensional endoanal sonogram at midanal canal of 37-year-old woman shows large obstetric tear involving both internal anal sphincter (open arrows, IS) from 10- to 5-o'clock positions and external anal sphincter (arrowheads, ES) from 10- to 3-o'clock positions after complicated vaginal delivery. Tears are visualized by discontinuity of inner and outer sphincter rings. Scar tissue (solid thin arrows) of external anal sphincter is depicted anteriorly by segments of hypoechogenicity. Top of figure is anterior.