Severe rectal bleeding due to leech bite

Rectal bleeding due to leech bite: a case report

“…fort, a sensation of wanting to defecate, and sensation of a moving foreign body in the rectum. [18] Cases of leech-induced bleeding from the vagina, bladder and pharynx have been reported but, to the best of our knowledge, this is only the third reported case of rectal bleeding and certainly the first to be managed by anoscope and hand evaluation. In earlier reports, the first from China, the patient was treated conservatively with hemostatic drugs, and bleeding only stopped on the second day after the diagnosis was made.…”

“…[11] Therefore, it has not been described in the lower intestines, although it can pass from outside through the anal sphincter into the rectum. [18] However, the presence of a leech in the rectum has been reported in a limited number of articles. In the last 35 years, there were only two case reports on this issue.…”

“…They have been described in sites like the esophagus, [11] mouth/pharynx/ larynx, [12] conjunctiva, [13] nose, [14] trachea/bronchi, [15] vagina, [16] bladder, [17] and rectum. [18] When attached to the mucous membrane, they ingest blood averaging 890% of their weight. [19] In this regard, aquatic leeches are more dangerous than land leeches because they are more likely to cause severe anemia, which may require blood transfusion.…”

“…In the last 35 years, there were only two case reports on this issue. [18] When the leech is present in the rectum, patients present with intermittent or severe rectal bleeding, anorectal discom-Ocak -January 2011 Ulus Travma Acil Cerrahi Derg Fig. 1.…”

Hematuria Due to Leech Bite in the Urinary Bladder: A Case Report

“…The most common mode of penetration in leech endoparasistism is nasal infestation 11 . In the stomach, the leech is usually destroyed by gastric acid 7 .…”