Coincidental occurrence of endometrial hyperplasia with atypia and vaginal leech infestation in a postmenopausal woman: a rare case report

Abstract

This case illustrates a rare coexistence of two distinct causes of vaginal bleeding: endometrial hyperplasia with atypia and vaginal leech infestation. In women from rural areas with exposure to contaminated water, clinicians should maintain a high index of suspicion for leech infestation even when another cause of bleeding is established.