Tehran University of Medical Sciences Iranian Journal of Parasitology 1735-7020 13 4 2018 12 22 661 663 EN Hajar ZIAEI HEZARJARIBI Molecular and Cell Biology Research Center, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran Mahdi FAKHAR Molecular and Cell Biology Research Center, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran Rezvan YALVEH Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran Sayed Abdollah MOUSAVI Surgery Ward, Booali Sina Hospital, Mazandaran University of Medical Sciences, Sari, Iran Elham Sadat BANIMOSTAFAVI Dept. of Radiology, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran 2016 08 12 2018 08 08 Leech infestation most frequently occurs in upper body cavities of children including pharynx, nose and esophagus and, more rarely, the vagina and vulva. Here we describe a 6-yr-old girl with vulvar bleeding caused by leech infestation that referred to the Emergency unit of the Booali Sina Hospital in Sari, Iran in Sep 2015. She had a history of swimming in a pond prior to the occurrence. The leech infestation particularly vulvar involvement among young girls is extremely rare and yet neglected event in the world. https://ijpa.tums.ac.ir/index.php/ijpa/article/view/1129 https://ijpa.tums.ac.ir/index.php/ijpa/article/download/1129/894