{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T09:58:17Z","timestamp":1781258297994,"version":"3.54.1"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Hirudiniasis, or leech infestation, is a rare parasitic condition typically involving external skin or mucosal surfaces. We report a case of scrotal hirudiniasis, an 11\u2009cm long leech discovered within the scrotal sac of a 15\u2010year\u2010old male. He initially developed hematuria due to periurethral leech attachment, which resolved following catheterization and bladder irrigation. A week later, he presented with acute scrotal pain and swelling. Ultrasound revealed a tubular, mobile structure near the left vas deferens. Surgical exploration identified an 11\u2009cm leech within the tunica vaginalis, without any external entry wound or urethra\u2010cutaneous fistula. Two plausible routes of entry are suggested: retrograde movement via the vas deferens or migration through perineal fascial planes following urethral breach. This case underscores the need to consider unusual parasitic causes in patients presenting with acute scrotum in endemic regions.<\/jats:p>","DOI":"10.1002\/ccr3.72544","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T04:34:28Z","timestamp":1776054868000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Scrotal Hirudiniasis: The Mysterious Migration of a Leech Into the Scrotum: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8785-1494","authenticated-orcid":false,"given":"Pranto","family":"Chakroborty","sequence":"first","affiliation":[{"name":"FCPS Part \u2010 II Trainee (Neurosurgery) Sylhet MAG Osmani Medical College Hospital  Sylhet Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md. Abdul","family":"Quadir","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Surgery Sylhet MAG Osmani Medical College Hospital  Sylhet Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,12]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.21608\/PUJ.2021.58465.1104"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.4021\/jmc41e"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/2277\u20109175.96041"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43163\u2010024\u201000698\u2010y"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/VMRR.S401079"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43163\u2010021\u201000132\u20107"},{"issue":"3","key":"e_1_2_16_8_1","first-page":"242","article-title":"Vesical Hirudiniasis: A Rare Case Report","volume":"8","author":"Datta B.","year":"2011","journal-title":"Urology Journal"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/8896600"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894\u2010019\u20100460\u2010x"},{"key":"e_1_2_16_11_1","article-title":"Acute Epididymitis","author":"DiMare M.","year":"2023","journal-title":"Medscape"},{"key":"e_1_2_16_12_1","article-title":"Perineal Region: Anatomy, Definition and Supply","author":"Crumbie L.","year":"2025","journal-title":"Kenhub"},{"key":"e_1_2_16_13_1","volume-title":"StatPearls [Internet]","author":"Leslie S. W.","year":"2025"},{"key":"e_1_2_16_14_1","article-title":"Fournier Gangrene","author":"Pais V. M.","year":"2023","journal-title":"Medscape"},{"key":"e_1_2_16_15_1","article-title":"Urethral Trauma Imaging","author":"Smith J. 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