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Leech in the Nasopharynx

A 61-year-old man presented with a 1-week history of intermittent epistaxis. No other symptoms and signs were reported. On physical examination, nasal endoscopy revealed a dark-colored moving foreign body in the nasopharynx (Figure 1). The foreign body in the nasopharynx was removed using forceps and was found to be an engorged and deformed leech (Figure 2). Upon further questioning with regard to leech infestation, the patient reported that he had been swimming in a lake in his village. After removal of the leech, he remained asymptomatic, and complete blood count did not reveal anemia. He was discharged from the hospital on the same day. The institutional review board of Fatih University Medical School approved this article.