A cause of postmenopausal vaginal bleeding and severe anemia: vaginal leech infestation

Hazari, Vajihe; Sedghi, Nazanin

Volume 11, Issue 4 (12-2023) J Surg Trauma 2023, 11(4): 167-171 | Back to browse issues page

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Hazari V, Sedghi N. A cause of postmenopausal vaginal bleeding and severe anemia: vaginal leech infestation. J Surg Trauma 2023; 11 (4) :167-171
URL: http://jsurgery.bums.ac.ir/article-1-429-en.html

A cause of postmenopausal vaginal bleeding and severe anemia: vaginal leech infestation

Vajihe Hazari ^*

, Nazanin Sedghi

Department of Gynecology and Obstetrics, Faculty of Medicine, Birjand University of Medical Sciences, Rooyesh Infertility Center, Birjand, Iran

Abstract: (215 Views)

Poor rural residents who drink leech-contaminated water are more likely to get human leeches. Atrophic endometrium, carcinoma, and other atypical postmenopausal vaginal bleeding causes must be diagnosed and treated immediately. Postmenopausal women may die from this. This paper describes the leech-induced atypical vaginal bleeding of a 72-year-old postmenopausal woman with six days of bleeding and weakness. Her medical history includes a year of tinnitus, three months of dizziness, and true vertigo. Anemia, weakness, and a low hemoglobin level (7.1 mg/dL) resulted from postmenopausal vaginal bleeding. She was transfused with one unit of whole blood and one liter of crystalloid, and she was admitted to a public referral hospital's gynecology ward. The vaginal leech was surgically removed. The patient was discharged five days after the leech was removed. Vaginal bleeding due to leech infestation is a very uncommon but important gynecological problem.

Keywords: Leech, Postmenopausal, Vaginal Bleeding, Anemia

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