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Key Clinical Message  We present the case of a patient who delivered her baby through the perineal body with an intact vaginal introitus. Damage to the perineal body through its connection to the external anal sphincter can involve the rectovaginal septum with increased morbidity and thought to be linked to rectocele development.

Delivery through perineal body and severed external anal sphincter with an intact vaginal orifice during a precipitous labor: a case report