Al Behçet, Yenen Mehmet Emin, Aldemir Mustafa
Department of Emergency Medicine, Gaziantep University Faculty of Medicine, Gaziantep, Turkey.
Ulus Travma Acil Cerrahi Derg. 2011 Jan;17(1):83-6. doi: 10.5505/tjtes.2011.75318.
We present herein a case with a four-day history of fresh rectal bleeding due to leech bite. The cause was found to be a leech in the rectum by anoscope. This pathological condition is extremely rare in urban areas. Leech endoparasitism, although rare, may cause serious, even lethal, complications. Suspicion of leech infestation should be kept in mind when faced with intermittent or severe rectal bleeding in humans, and should be investigated surgically as with all other foreign bodies. In the current study, we present a patient who admitted with rectal bleeding due to leech bite. The leech was removed by hand examination (by forceps) without requiring any surgical attempt.
我们在此报告一例因水蛭叮咬导致直肠新鲜出血四天的病例。通过肛门镜检查发现病因是直肠内有一条水蛭。这种病理状况在城市地区极为罕见。水蛭体内寄生虽然罕见，但可能会导致严重甚至致命的并发症。当面对人类间歇性或严重的直肠出血时，应考虑到水蛭感染的可能性，并应像处理所有其他异物一样进行手术探查。在本研究中，我们报告了一名因水蛭叮咬导致直肠出血而入院的患者。通过手工检查（用镊子）取出了水蛭，无需进行任何手术操作。
