Haementeria ghilianii, the giant Amazon leech, is one of the world's largest species of leeches. It can grow to 450 mm (17.7 in) in length and 100 mm (3.9 in) in width. As adults, these leeches are a greyish-brown colour, as opposed to juveniles, which do not have a uniform colour, but rather, a noncontinuous stripe of colour, and patched colouring. They live from the Guianas to the Amazon. The leech produces the anticoagulant protease hementin from its salivary glands.