American Society of Hirudotherapy

Bleeding due to a medicinal leech bite

Case report published in Emergency Medicine Journal (2005)

Last Updated: June 18, 2026Reviewed by: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Case reportSafety & Infection ControlClinical TrialsIkizceli I et al. · Emergency Medicine Journal, 2005

Abstract

This paper reports a case of prolonged bleeding following application of leeches to treat chronic pain. The paper discusses the characteristics of the wounds and possible complication of prolonged bleeding following medicinal leech application. The principles of treatment are also described.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeCase ReportsJournal Article
Indexed MeSH termsAdultBites and StingsHemorrhageHirudo medicinalisHumansLeechingLegMalePain ManagementTreatment Outcome

Summary

Case of prolonged bleeding following leech application for chronic pain treatment, discussing wound characteristics and management principles in the emergency setting.

Why This Matters for Hirudotherapy

This case report documents prolonged bleeding following the application of leeches for chronic pain treatment, discussing the characteristics of the resulting wounds, the possible complication of extended hemorrhage after medicinal leech application, and the principles of treatment. This is directly relevant to hirudotherapy safety, as prolonged bleeding is a complication that practitioners must be prepared to recognize and manage. However, as a single case report, it provides limited generalizable evidence regarding the incidence of bleeding complications, patient-specific risk factors, or optimal management protocols, and does not establish the frequency of this adverse event in broader clinical practice.

Citation

Bleeding due to a medicinal leech bite.

Ikizceli I et al. · Emergency Medicine Journal, 2005

Added to ASH library: May 27, 2026 · Site last updated: June 18, 2026

This website provides educational information and does not constitute medical advice, diagnosis, or treatment recommendations. Medicinal leech therapy carries clinically meaningful risks and should be performed only by qualified clinicians under institutionally approved protocols. FDA 510(k) clearance for medicinal leeches is limited to specific indications; investigational and off-label discussions are labeled accordingly. For patient-specific guidance, consult a qualified healthcare provider.