Department of Otorhinolaryngology Head and Neck Surgery, Inonu University Faculty of Medicine, Malatya, Turkey.
J Craniofac Surg. 2021;32(2):e119-e120. doi: 10.1097/SCS.0000000000006826.
A 58-year-old male patient was admitted to the Otorhinolaryngology department with acute hemoptysis. In his history, it was understood that he drank natural water 2 days ago. The patient had hemoptysis, which occurred with spitting. The patient had difficulty swallowing and discomfort when swallowing. Endoscopic examination revealed a blackish live foreign object in the hypopharynx with right local posterior hypopharyngeal oozing. Hypopharyngeal leech was suspected and removed immediately using forceps. After the leech was removed, the bleeding stopped immediately and the patient started swallowing and breathing comfortably. Pharyngeal leeches should be included in the differential diagnosis of patients with hemoptysis, especially in patients with a history of drinking unfiltered water from sources where aquatic leeches are commonly found.
一位 58 岁男性患者因急性咯血被收入耳鼻喉科。在他的病史中，了解到他在两天前饮用了天然水。患者出现咯血，伴有咳痰。患者吞咽困难，吞咽时不适。内镜检查发现下咽有一个黑色的活体异物，右侧局部下咽渗出。疑似咽蛭，立即用钳子取出。蛭取出后，出血立即停止，患者开始吞咽，呼吸舒适。咽蛭应纳入咯血患者的鉴别诊断，特别是在饮用来自水生蛭常见水源的未过滤水的患者中。
