Rectal bleeding due to leech bite: a case report

Abstract

Bu yazıda, sülük ısırığına bağlı oluşan dört günlük taze rektal kanamalı olgu sunuldu. Kanamının nedeni anoskopla rektumda olduğu saptanan sülüktü. Bu patolojik durum şehir alanlarında oldukça azdır. Sülük endoparasitizmi az olmasına rağmen, ciddi ve hatta ölümcül komplikasyonlara neden olmaktadır. İnsanlarda aralıklı veya ciddi rektal kanama ile karşılaştığında sülük infestasyon şüphesi akıl-da tutulmalıdır ve diğer tüm yabancı cisimlerde olduğu gibi cerrahi olarak incelenmelidir. Burada sülük ısırığına bağlı rektal kanama ile başvuran bir hastayı sunduk. Sülük, herhangi bir cerrahi girişim yapılmaksızın el değerlendirmesi ile (forseps ile) çıkarıldı.Anahtar Sözcükler: Anaoskop; klemp; forseps; el ile değerlendir-me; sülük; rektal kanama.We present herein a case with a four-day history of fresh rectal bleeding due to leech bite. The cause was found to be a leech in the rectum by anoscope. This pathological condition is extremely rare in urban areas. Leech endoparasitism, although rare, may cause serious, even lethal, complications. Suspicion of leech infestation should be kept in mind when faced with intermittent or severe rectal bleeding in humans, and should be investigated surgically as with all other foreign bodies. In the current study, we present a patient who admitted with rectal bleeding due to leech bite. The leech was removed by hand examination (by forceps) without requiring any surgical attempt.

A Comprehensive Review of Hirudiniasis: From Historic Uses of Leeches to Modern Treatments of Their Bites

“…If there are multiple leech attachments and/or underlying coagulation disorders, an individual can experience severe anemia and even death. 3,6,10,27 In a case described by Kose et al, a patient with 130 leech attachments experienced systemic effects causing altered prothrombin time and partial thromboplastin time laboratory studies requiring transfusion of plasma and red blood cells. 33 • Salt 2,3,7,16,18,[33][34][35][36][37] • Saline (Strong/Hypertonic/Saturated) 2,3,6,19,28,34,35,[38][39][40][41] • Vinegar (Strong) 2,3,7,14,16,19,[33][34][35][36][37]41,42 • Turpentine 19,38,41,42 • Alcohol 2,7,16,19,34,…”

Esophageal Hirudiniasis: an Unusual Cause of Upper Gastrointestinal Bleeding

“…We reviewed the literature for cases of gastrointestinal bleeding related to leech infestation. We were able to identify 12 cases [ 6–17 ]. The clinical presentation included melena, hematemesis and hematochezia.…”

Otorrhagia bleeding due to leech bite

“…Previous leech involvement cases were explained in nasopharynx,[4] larynx,[5] pharynx,[6] eye,[7] and gastrointestinal tract. [3] Prominent sign of all cases was active bleeding from the leech attachment site, that stopped with leech removal. Leech should remove completely to stop bleeding.…”

“…They localize on the mucosa of the oropharynx, nasopharynx, tonsils, esophagus, or nose so the patient can presented with hematemesis, hemoptysis, and epistaxis. [3]…”