The anal sphincters may be divided by direct anal trauma or by severe pelvic injuries. The preoperative clinical assessment may correlate well with intra-operative assessment. As long as about half the sphincter ring remains active there is a good chance of restoring satisfactory faecal continence following a sphincteroplasty.

Being of embryonal tissue origin, the teratomas are rare in adults, typically occurring either in the gonads or in the sacrococcygeal region in infancy and childhood. We present a case of a teratoma in the lesser sac of an adult female managed by en-bloc resection with the infiltrating stomach segment.