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Leech in urinary bladder causing hematuria.
J Pediatr Urol. 2008 Feb; 4(1):70-3.JP

Abstract

OBJECTIVE

To estimate efficacy of normal saline in the management of hematuria caused by accidental entry of a leech per urethra into the urinary bladder.

METHODS

An intervention study was carried out in the Department of Pediatric Surgery of Sylhet MAG Osmani Medical College between January 1998 and December 2003. A total of 43 boys (mean age 8 years, SD+/-2.6) were enrolled. In all cases, a leech had entered the urinary bladder through the urethra causing hematuria. All patients were equipped with a self-retaining Foley catheter. They were managed by infusing 50ml of normal saline into the urinary bladder through the catheter that was then clamped for 3h.

RESULTS

After removing the catheter, in all cases the whole leech was spontaneously expelled intact, dead or alive, within 2-24h during the subsequent act of micturition. Hematuria gradually diminished to a clear flow within the next 6h in 27 cases, 12h in 14 cases and 24h in two cases. All patients were followed up for 2 weeks, and none developed recurrent hematuria.

CONCLUSION

Catheterization and irrigation of the urinary bladder with normal saline is a relatively simple, safe and inexpensive method of removing the leech and controlling hematuria.

Authors+Show Affiliations

Department of Paediatric Surgery, Sylhet MAG Osmani Medical College, Bangladesh. shadrul@hotmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18631896

Citation

Alam, Shadrul, et al. "Leech in Urinary Bladder Causing Hematuria." Journal of Pediatric Urology, vol. 4, no. 1, 2008, pp. 70-3.
Alam S, Das Choudhary MK, Islam K. Leech in urinary bladder causing hematuria. J Pediatr Urol. 2008;4(1):70-3.
Alam, S., Das Choudhary, M. K., & Islam, K. (2008). Leech in urinary bladder causing hematuria. Journal of Pediatric Urology, 4(1), 70-3. https://doi.org/10.1016/j.jpurol.2007.02.004
Alam S, Das Choudhary MK, Islam K. Leech in Urinary Bladder Causing Hematuria. J Pediatr Urol. 2008;4(1):70-3. PubMed PMID: 18631896.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Leech in urinary bladder causing hematuria. AU - Alam,Shadrul, AU - Das Choudhary,Mrigen Kumar, AU - Islam,Kabirul, Y1 - 2007/05/22/ PY - 2004/10/15/received PY - 2007/02/15/accepted PY - 2008/7/18/pubmed PY - 2008/10/25/medline PY - 2008/7/18/entrez SP - 70 EP - 3 JF - Journal of pediatric urology JO - J Pediatr Urol VL - 4 IS - 1 N2 - OBJECTIVE: To estimate efficacy of normal saline in the management of hematuria caused by accidental entry of a leech per urethra into the urinary bladder. METHODS: An intervention study was carried out in the Department of Pediatric Surgery of Sylhet MAG Osmani Medical College between January 1998 and December 2003. A total of 43 boys (mean age 8 years, SD+/-2.6) were enrolled. In all cases, a leech had entered the urinary bladder through the urethra causing hematuria. All patients were equipped with a self-retaining Foley catheter. They were managed by infusing 50ml of normal saline into the urinary bladder through the catheter that was then clamped for 3h. RESULTS: After removing the catheter, in all cases the whole leech was spontaneously expelled intact, dead or alive, within 2-24h during the subsequent act of micturition. Hematuria gradually diminished to a clear flow within the next 6h in 27 cases, 12h in 14 cases and 24h in two cases. All patients were followed up for 2 weeks, and none developed recurrent hematuria. CONCLUSION: Catheterization and irrigation of the urinary bladder with normal saline is a relatively simple, safe and inexpensive method of removing the leech and controlling hematuria. SN - 1873-4898 UR - https://www.unboundmedicine.com/medline/citation/18631896/Leech_in_urinary_bladder_causing_hematuria_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1477-5131(07)00275-6 DB - PRIME DP - Unbound Medicine ER -