Gynaecological complications of leech bite

In tropical countries, leech bites are common and reported to cause life-threatening complications. We would like to highlight two cases that represented acute and chronic gynaecological complications of leech bites. First case was a two-year-old girl who presented with persistent vaginal bleeding complicated by disseminated intravascular coagulopathy after a leech was forcefully removed from her intracoitus. Second case was a 15-year-old girl who presented with a history of progressive difficulty and incomplete micturition three years after an incident with a leech bite at the vulva region. She was noted to have complete midline fusion of her labia minora with a pinhole orifice, which required surgical intervention. These two cases highlights the acute and chronic complications that can arise from such a simple leech bites which can be life threatening. Awareness of such potential complications of leech bites will lead to early referral and early treatment.