An 11-year-old boy came to the ENT Outpatient Department with complaints of left nasal obstruction and occasional epistaxis. He had been swimming in pond three days before. On physical examination a black object was seen in the left nasal cavity. After the patient was given a local anaesthetic, the object was removed using alligator forceps using 10% xylocaine nasal spray and a rigid endoscope. It was a black leech, 3 mm in diameter and 3.5 cm long. There was minimal bleeding of the left middle turbinate.
Bleeding stopped after removal of the leech and the patient felt comfortable. Microscopic examination of the leech revealed that the jaw was missing. What therapeutic action comes to mind, if leech infest oropharynx? *This case is for Docplexus editorial team for educative purpose only Source: Fooanant S, Puntasri W, Manorot M, Niwasabutra S. A leech in the nasal cavity: Case report.…
