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Case report : leech infestation presenting as metromenorrhagia
Other Title(s)
احتشار العلقة تظهر كنزف رحمي طمثي
Author
Source
Issue
Vol. 1, Issue 1 (31 Dec. 2007), pp.112-117, 6 p.
Publisher
University of Duhok College of Medicine
Publication Date
2007-12-31
Country of Publication
Iraq
No. of Pages
6
Main Subjects
Pharmacy, Health & Medical Sciences
Abstract EN
Objective This case is presented to show that leech infestation is still not uncommon in Iraq especially of the genital tract.
Leech infestation, could cause menorrhagia in women.
Case profile A 45years old multiparous woman from Sinjar’s rural areas in Mosul province, attending the out patient department with severe vaginal bleeding, and a history of moderate, continuous vaginal bleeding for four months.
She underwent diagnostic curettage three months before, which revealed normal secretory endometrium.
The infected woman was pale and hypotensive with features of chronic iron deficiency anemia.
Speculum and gynecological examinations demonstrated no abnormalities.
Total abdominal hysterectomy as an emergency was done with preservation of both ovaries; bleeding persisted postoperatively; re-assessment by speculum pelvic examination revealed leech infestation of the vagina.
The Leech belongs to Phyllum Annelida, class Hirudinea, and order Rhychobdellida.
An infestation with leeches should be considered in patients who present with menorrhagia and history of immersion in fresh water lakes or streams in tropical infested areas.
Leech infestation is not common in gynecological practice, and is rare nowadays as water supplied to all cities and villages is passing through filtration and disinfection process.
Conclusion Leech infestation should be remembered, as a cause of menorrhagea, in areas where using river water and sitting at riverside is habitual for women in infested rural areas.
American Psychological Association (APA)
Shamdeen, Maida Y.. 2007. Case report : leech infestation presenting as metromenorrhagia. Duhok Medical Journal،Vol. 1, no. 1, pp.112-117.
https://search.emarefa.net/detail/BIM-723001
Modern Language Association (MLA)
Shamdeen, Maida Y.. Case report : leech infestation presenting as metromenorrhagia. Duhok Medical Journal Vol. 1, no. 1 (2007), pp.112-117.
https://search.emarefa.net/detail/BIM-723001
American Medical Association (AMA)
Shamdeen, Maida Y.. Case report : leech infestation presenting as metromenorrhagia. Duhok Medical Journal. 2007. Vol. 1, no. 1, pp.112-117.
https://search.emarefa.net/detail/BIM-723001
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 115
Record ID
BIM-723001