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Fig. 13A —53-year-old woman after complicated vaginal delivery
(rupture) (same patient as in Fig.
10A,
10B). ES = external anal
sphincter, IS = internal anal sphincter. Transverse endoanal sonogram obtained
after anterior anal sphincter repair shows sphincter overlap (thin
arrows) at midanal canal. Overlap of anal sphincter ends is difficult to
visualize because of low soft-tissue contrast resolution. Area with scar
tissue (arrowheads) is depicted. Surgery failed for this patient, who
still has fecal incontinence. Top of figure is anterior.