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Reach the Leech: An Unusual Cause of Hematuria.
J Coll Physicians Surg Pak. 2016 Feb; 26(2):156-7.JC

Abstract

Leeches are found in fresh water as well as moist marshy tropical areas. Orifical Hirudiniasis is the presence of leech in natural human orifices. Leech have been reported in nose, oropharynx, vagina, rectum and bladder but leech per urethra is very rare. We report a case of leech in urethra causing hematuria and bleeding disorder in the form of epistaxis and impaired clotting profile after use of stream water for ablution. The case was diagnosed after a prolonged diagnostic dilemma. Asingle alive leech was recovered from the urethra after ten days with the help of forceps. The hematuria and epistaxis gradually improved over next 48 hours and the patient became asymptomatic. Natives of leech infested areas should be advised to avoid swimming in fresh water and desist from drinking and using stream water without inspection for leeches.

Authors+Show Affiliations

Department of Rehabilitation Medicine, Combined Military Hospital (CMH), Kohat, KPK.Department of Surgery, Combined Military Hospital (CMH), Kohat, KPK.Department of Surgery, Combined Military Hospital (CMH), Kohat, KPK.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26876408

Citation

Mansoor, Sahibzada Nasir, et al. "Reach the Leech: an Unusual Cause of Hematuria." Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, vol. 26, no. 2, 2016, pp. 156-7.
Mansoor SN, Anwar Z, Sheen SN. Reach the Leech: An Unusual Cause of Hematuria. J Coll Physicians Surg Pak. 2016;26(2):156-7.
Mansoor, S. N., Anwar, Z., & Sheen, S. N. (2016). Reach the Leech: An Unusual Cause of Hematuria. Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 26(2), 156-7. https://doi.org/02.2016/JCPSP.156157
Mansoor SN, Anwar Z, Sheen SN. Reach the Leech: an Unusual Cause of Hematuria. J Coll Physicians Surg Pak. 2016;26(2):156-7. PubMed PMID: 26876408.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reach the Leech: An Unusual Cause of Hematuria. AU - Mansoor,Sahibzada Nasir, AU - Anwar,Zahid, AU - Sheen,Salman Najam, PY - 2013/08/26/received PY - 2015/01/23/accepted PY - 2016/2/16/entrez PY - 2016/2/16/pubmed PY - 2017/1/4/medline SP - 156 EP - 7 JF - Journal of the College of Physicians and Surgeons--Pakistan : JCPSP JO - J Coll Physicians Surg Pak VL - 26 IS - 2 N2 - Leeches are found in fresh water as well as moist marshy tropical areas. Orifical Hirudiniasis is the presence of leech in natural human orifices. Leech have been reported in nose, oropharynx, vagina, rectum and bladder but leech per urethra is very rare. We report a case of leech in urethra causing hematuria and bleeding disorder in the form of epistaxis and impaired clotting profile after use of stream water for ablution. The case was diagnosed after a prolonged diagnostic dilemma. Asingle alive leech was recovered from the urethra after ten days with the help of forceps. The hematuria and epistaxis gradually improved over next 48 hours and the patient became asymptomatic. Natives of leech infested areas should be advised to avoid swimming in fresh water and desist from drinking and using stream water without inspection for leeches. SN - 1681-7168 UR - https://www.unboundmedicine.com/medline/citation/26876408/Reach_the_Leech:_An_Unusual_Cause_of_Hematuria_ DB - PRIME DP - Unbound Medicine ER -
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