Case Report: A rare cause of vaginal bleeding at Keren Zonal Referral Hospital, Eritrea

Million Abraha; Shiden Solomon

doi:10.12688/f1000research.17453.2

Case Report: A rare cause of vaginal bleeding at Keren Zonal Referral Hospital, Eritrea

F1000Res. 2019 Jan 9:8:37. doi: 10.12688/f1000research.17453.2. eCollection 2019.

Authors

Million Abraha^{1

2}, Shiden Solomon³

Affiliations

¹ Fairmed, Bern, 3011, Switzerland.
² Institute for Social and Preventive Medicine, University of Bern, Bern, 3012, Switzerland.
³ Maurice Wohl Basic and Clinical Neuroscience Institute, King's College London, London, WC2R 2LS, UK.

Abstract

Vaginal bleeding due to leech infestation is a very uncommon but important gynaecological problem. This report presents the case of a 65-year-old woman who presented to Keren Regional Referral Hospital, Eritrea, with vaginal bleeding of two and half weeks duration, dizziness and fatigue. On the day of her admission complete blood count and speculum exam were done and she was diagnosed with anaemia due to cervical leech infestation. Routine speculum exam for vaginal bleeding is recommended in cases with history of holy water or springs visits to prevent unnecessary diagnostic tests and for rapid management.

Keywords: Anemia; Case report; Infestation; Leech; Vaginal bleeding.

Publication types

Case Reports