Summary: | Abdulsemed Mohammed Nur,1 Zebeaman Tibebu Gorfu2 1Division of Gastroenterology and Hepatology, Department of Internal Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; 2Department of Internal Medicine, Adera Medical Center, Addis Ababa, EthiopiaCorrespondence: Abdulsemed Mohammed Nur, Email abdulsemed.nur3@gmail.comAbstract: Upper GI bleeding secondary to a live foreign body (leech) is a very rare condition, causing diagnostic and therapeutic challenges. Aquatic leeches could infest the upper gastrointestinal (GI) mucosa, resulting in bleeding and/or anemia. A history of contact with a contaminated water source is necessary to establish the diagnosis. We, herein, present two cases of upper GI bleeding caused by leech infestation and a technique for extraction of the leech.Keywords: leech infestation, upper GI bleeding, anemia, Africa, Ethiopia
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