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Case Reports in Surgery
Volume 2016, Article ID 7164983, 3 pages
Case Report

A Content Incontinent: Report of Liposomal Bupivacaine Induced Fecal Incontinence

1Department of Surgery, Mountain View Hospital, Las Vegas, NV, USA
2Department of Surgery, University of New Mexico, Albuquerque, NM, USA

Received 9 July 2016; Accepted 4 September 2016

Academic Editor: Paola De Nardi

Copyright © 2016 Emanuel A. Shapera and Vinay K. Rai. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Proper surgical management of anal fistula demands sound clinical judgment and extraordinary care to prevent incontinence and adequate postoperative pain control and provide satisfactory resolution to optimize quality of life. Fecal incontinence can be a devastating complication of procedures performed for fistula in ano. We report a unique case in which temporary incontinence (for less than 4 days) followed injection of liposomal bupivacaine for postoperative pain control after draining seton placement for fistula in ano. Patients and physicians should be aware as it may be mistaken for a more serious anatomical and permanent cause of fecal incontinence.