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Pediatric Vaginal Leech Infestation with Severe Bleeding: A Case Report and Review Article.
J Pediatr Adolesc Gynecol. 2019 Aug; 32(4):420-424.JP

Abstract

BACKGROUND

Vaginal leech infestation is a rare event with vaginal bleeding being its prominent sign. Few cases have been reported in young children.

CASE

In this article, we present a case of vaginal leech infestation in a 2-year-old girl who presented with significant vaginal bleeding that caused severe acute anemia, prompting transfusion. On examination, she appeared anemic, but healthy, without any signs of pubertal development. The leech was seen during examination with the patient under anesthesia and was removed. With removal of the leech, bleeding decreased significantly and stopped completely after 2 hours. She was discharged the next day in good condition.

SUMMARY AND CONCLUSION

The important concern in vaginal leech infestation is early diagnosis to prevent severe acute anemia and shock.

Authors+Show Affiliations

Department of Pediatric Surgery, Mashhad University of Medical Science, Mashhad, Iran.Department of Pediatric Surgery, Mashhad University of Medical Science, Mashhad, Iran; Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address: mhiradfar@gmail.com.Department of Pediatric Surgery, Mashhad University of Medical Science, Mashhad, Iran.Department of Pediatric Surgery, Mashhad University of Medical Science, Mashhad, Iran.Department of Pediatric Surgery, Mashhad University of Medical Science, Mashhad, Iran.Cutaneous Leishmaniasis Research Center, Mashhad University of Medical Science, Mashhad, Iran.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

30928531

Citation

Majidi, Saeedeh, et al. "Pediatric Vaginal Leech Infestation With Severe Bleeding: a Case Report and Review Article." Journal of Pediatric and Adolescent Gynecology, vol. 32, no. 4, 2019, pp. 420-424.
Majidi S, Hiradfar M, Shojaian R, et al. Pediatric Vaginal Leech Infestation with Severe Bleeding: A Case Report and Review Article. J Pediatr Adolesc Gynecol. 2019;32(4):420-424.
Majidi, S., Hiradfar, M., Shojaian, R., Mohammadipour, A., Khazravi, M. M., & Fata, A. (2019). Pediatric Vaginal Leech Infestation with Severe Bleeding: A Case Report and Review Article. Journal of Pediatric and Adolescent Gynecology, 32(4), 420-424. https://doi.org/10.1016/j.jpag.2019.03.007
Majidi S, et al. Pediatric Vaginal Leech Infestation With Severe Bleeding: a Case Report and Review Article. J Pediatr Adolesc Gynecol. 2019;32(4):420-424. PubMed PMID: 30928531.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pediatric Vaginal Leech Infestation with Severe Bleeding: A Case Report and Review Article. AU - Majidi,Saeedeh, AU - Hiradfar,Mehran, AU - Shojaian,Reza, AU - Mohammadipour,Ahmad, AU - Khazravi,Mohammad M, AU - Fata,Abdolmajid, Y1 - 2019/03/28/ PY - 2018/12/06/received PY - 2019/03/19/revised PY - 2019/03/21/accepted PY - 2019/4/1/pubmed PY - 2019/11/26/medline PY - 2019/4/1/entrez KW - Bleeding KW - Leech KW - Pediatric KW - Vagina SP - 420 EP - 424 JF - Journal of pediatric and adolescent gynecology JO - J Pediatr Adolesc Gynecol VL - 32 IS - 4 N2 - BACKGROUND: Vaginal leech infestation is a rare event with vaginal bleeding being its prominent sign. Few cases have been reported in young children. CASE: In this article, we present a case of vaginal leech infestation in a 2-year-old girl who presented with significant vaginal bleeding that caused severe acute anemia, prompting transfusion. On examination, she appeared anemic, but healthy, without any signs of pubertal development. The leech was seen during examination with the patient under anesthesia and was removed. With removal of the leech, bleeding decreased significantly and stopped completely after 2 hours. She was discharged the next day in good condition. SUMMARY AND CONCLUSION: The important concern in vaginal leech infestation is early diagnosis to prevent severe acute anemia and shock. SN - 1873-4332 UR - https://www.unboundmedicine.com/medline/citation/30928531/Pediatric_Vaginal_Leech_Infestation_with_Severe_Bleeding:_A_Case_Report_and_Review_Article_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1083-3188(19)30170-6 DB - PRIME DP - Unbound Medicine ER -