Postmenopausal Vaginal Bleeding after Infesting with Leeches

roghaieh rahmani bilandi; Azamsadat Mahmoudian; Arash Hamzei

Zahedan Journal of Research in Medical Sciences

The Official Journal of Zahedan University of Medical Sciences

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Postmenopausal Vaginal Bleeding after Infesting with Leeches

Author(s):

roghaieh rahmani bilandi¹,

Azamsadat Mahmoudian^2,*,

Arash Hamzei³

1Department of Midwifery, Faculty of Nursing and Midwifery, Gonabad University of Medical Science, Gonabad, Iran

2Department of Obstetrics and Gynecology, Gonabad Medical University, Gonabad, Iran

3Department of Anesthesiology, Gonabad Medical University, Gonabad, Iran

Zahedan Journal of Research in Medical Sciences:Vol. 14, issue 4; e93503

Published online:Jul 27, 2011

Article type:Case Report

Received:May 05, 2011

Accepted:May 25, 2011

How to Cite:roghaieh rahmani bilandiAzamsadat MahmoudianArash HamzeiPostmenopausal Vaginal Bleeding after Infesting with Leeches.Zahedan J Res Med Sci.14(4):e93503.

Abstract

Diagnosis and therapeutic measures are immediately taken for abnormal postmenopausal vaginal bleeding, because its causes range from atrophic endometrium to malignancy. In this paper, abnormal bleeding is reported due to leech infection. The patient is a 69-year-old woman who has reached menopause for 12 years and has visited a physician because of vaginal bleeding. The patient had no history of abnormal bleeding or medication. The patient first refused to get hospitalized and continue medical care, but she finally accepted to take diagnostic and therapeutic procedures after a few times of visit and increased bleeding. During general anesthesia and upon opening vagina, a large hemorrhagic and moving mass was observed at the upper posterior vaginal wall which was removed with surgical forceps. Surprisingly, this mass was a leech. Bleeding at the leech’s junction was stopped after half an hour using sterile gas and the patient was discharged on the next day.

Keywords

Leeches

Vaginal Bleeding

Menopause

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