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Leech infestation: a rare cause of prepubertal vaginal bleeding and anemia
َA Saber , M Khodaparast , M Yazdani
M.Sc of nursing, Bentolhoda Hospital, North Khorasan University of Medical Sciences, Bojnurd, Iran , khodaparast.mahvan@gmail.com
Abstract:   (338 Views)
Background and Aim: abnormal uterine bleeding is rare in girls under 10 years old. leech is a rare cause of severe vaginal bleeding before puberty. This paper presents a case report of prepubertal vaginal bleeding due to leech infection
Case report: An 8-year-old girl referred to emergency departments after three days of painless vaginal bleeding. The bleeding during the first two days was moderate, and the third day was accompanied by intensified bleeding and the removal of a large clot. The patient did not have a history of trauma, coagulation disorder, systemic diseases, and drug use. But she mentioned history of swimming in the creek water in a few days before referring to the emergency room. After examining of the genitalia was seen a black mass with a wave-like movement in the lower 1/3 of the vagina which was slightly visible outside of vagina. Leech removed by using forceps and pence without damaging to Hayman. After a short time, bleeding was stopped. On a visit the next day, the patient did not have vaginal bleeding and was discharged without difficulty.
Conclusions: What seems essential is detailed examination of the reproductive system and take history of swimming or bathing in the creek water, spring, qanat, dirty pool in cases of prepubertal vaginal bleeding.
Keywords: Leech Infestation, vaginal bleeding, Prepubertal
Type of Study: case report | Subject: Midwifery
Received: 2018/10/5 | Accepted: 2019/03/6 | Published: 2019/04/15
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مجله علمی دانشگاه علوم پزشکی بابل Journal of Babol University of Medical Sciences

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