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Warfarin-induced sublingual hematoma mimicking Ludwig angina: Conservative management of a potentially life-threatening condition.

Abstract
Sublingual hematoma secondary to excessive anticoagulation is a rare, life-threatening condition. Reports in the literature have emphasized the importance of a prompt reversal of the causative coagulopathy by intravenous administration of vitamin K and fresh frozen plasma. In the event of an unstable airway, surgical intervention via tracheostomy or cricothyroidectomy is advocated. We report a case of sublingual hematoma that was treated conservatively, and we discuss the presentation and management of this entity.
AuthorsEmma Cashman, Munish Shandilya, Mohammed Amin, Joe Hughes, Michael Walsh
JournalEar, nose, & throat journal (Ear Nose Throat J) Vol. 90 Issue 2 Pg. E1 (Feb 2011) ISSN: 1942-7522 [Electronic] United States
PMID21328214 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Vitamin K
  • Warfarin
Topics
  • Blood Transfusion
  • Diagnosis, Differential
  • Female
  • Hematoma (chemically induced, pathology, therapy)
  • Humans
  • International Normalized Ratio
  • Ludwig's Angina (diagnosis)
  • Middle Aged
  • Mouth Floor (pathology)
  • Plasma
  • Vitamin K (therapeutic use)
  • Warfarin (adverse effects)

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