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The Leech is a worm-likeenemy spawned by the Wall of FleshBoss. Multiple Leeches are released from the Wall's mouth, first in groups of 3-4. The groups grow larger and more frequent as the boss takes damage. The Wall of Flesh will eventually release them in a continuous stream.
Leeches don't despawn once the Wall of Flesh has been defeated.
Unlike most other burrowing enemies, Leeches do not create a digging noise, nor produce particles while digging.
Tips
In normal mode, they will always drop a Heart when they die, but in Expert Mode, the chances of a Leech dropping a Heart get reduced to a fifth. Preparing a platform before the fight can help you collect their dropped hearts.
Trivia
The Bestiary entry for the Leech: "A worm-like parasite spit forth from the Wall of Flesh, filled with the lifeblood of its host. This blood has healing properties."
The last part of its Bestiary entry refers to how it will always / often drop a Heart upon death.