Pediatric Vaginal Leech Infestation with Severe Bleeding: A Case Report and Review Article

Vaginal leech infestation is a rare event with vaginal bleeding being its prominent sign. Few cases have been reported in young children. In this article, we present a case of vaginal leech infestation in a 2-year-old girl who presented with significant vaginal bleeding that caused severe acute anem...

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Bibliographic Details
Published in:Journal of pediatric & adolescent gynecology 2019-08, Vol.32 (4), p.420-424
Main Authors: Majidi, Saeedeh, Hiradfar, Mehran, Shojaian, Reza, Mohammadipour, Ahmad, Khazravi, Mohammad M., Fata, Abdolmajid
Format: Article
Language:English
Subjects:
Bleeding
Leech
Pediatric
Vagina
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Summary:Vaginal leech infestation is a rare event with vaginal bleeding being its prominent sign. Few cases have been reported in young children. In this article, we present a case of vaginal leech infestation in a 2-year-old girl who presented with significant vaginal bleeding that caused severe acute anemia, prompting transfusion. On examination, she appeared anemic, but healthy, without any signs of pubertal development. The leech was seen during examination with the patient under anesthesia and was removed. With removal of the leech, bleeding decreased significantly and stopped completely after 2 hours. She was discharged the next day in good condition. The important concern in vaginal leech infestation is early diagnosis to prevent severe acute anemia and shock.
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2019.03.007