Hailemariam B
Department of Obstetrics and Gynaecology, Mekelle Hospital, Ethiopia.
Ethiop Med J. 1995 Jul;33(3):183-5.
A 50 year old para vi patient was referred to Mekelle Hospital on October 23, 1992 with post menopausal vaginal bleeding and haemorrhagic shock to rule out endometrial carcinoma. She was anaemic. Speculum examination revealed a darkish mass attached to the posterior vaginal fornix. The mass was instilled with about 5 ml (1%) Lidocaine, after which it detached itself and started movement. The mass was an aquatic leech. Previously, post menopausal vaginal bleeding due to leech infestation was not reported, and therefore, this has to be included in the differential diagnosis of abnormal vaginal bleeding. Emphasis should also be made to create awareness among professionals working in areas where leech infestation is prevalent.
1992年10月23日，一名50岁的经产妇因绝经后阴道出血和失血性休克被转诊至梅克内斯医院，以排除子宫内膜癌。她患有贫血。窥器检查发现阴道后穹窿附着有一个深色肿物。向该肿物注入约5毫升（1%）利多卡因后，它自行脱落并开始移动。该肿物是一条水蛭。此前，未报道过因水蛭寄生导致绝经后阴道出血的情况，因此，这应纳入异常阴道出血的鉴别诊断中。还应强调在水蛭寄生流行地区工作的专业人员中提高认识。
