Spontaneous sublingual hematoma secondary to anticoagulant therapy with warfarine
Keywords:
HEMATOMA, MOUTH FLOOR, WARFARIN
Abstract
Hemorrhagic complications in oral anticoagulant therapy are frequent. Spontaneous sublingual hematomas secondary to anticoagulants are an extremely unusual complication that is potentially lethal. The study reports a case of a patient on anticoagulation therapy with warfarine who develops a massive, spontaneous sublingual hematoma with obstruction of the high airway and cardiac arrest, where emergency transtracheal catheter ventilation was used.
References
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(3) Nuevo González JA, Cano Ballesteros JC, Pintor Holguín E, Braun Saro B, Visús Soler E, Sevillano Fernández JA. Exceso de anticoagulación oral: análisis desde un Servicio de Urgencias. Rev Clin Esp 2008; 208(2):66-70.
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(5) Fontcuberta J. Anticoagulación oral en enfermedad tromboembólica. Med Clín (Barc) 2008; 131(Supl 2):60-5.
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(7) Cohen AF, Warman SP. Upper airway obstruction secondary to warfarin-induced sublingual hematoma. Arch Otolaryngol Head Neck Surg 1989; 115(6):718-20.
(8) Duwat A, Petiot S, Malaquin S, Hinard S, Dupont H. Cricothyroïdotomie de sauvetage avant trachéotomie chirurgicale : à propos de deux cas. Ann Fr Anesth Reanim 2014; 33(5):364-6.
(9) Lepore ML. Upper airway obstruction induced by warfarin sodium. Arch Otolaryngol 1976; 102(8):505-6.
(10) Buyuklu M, Bakirci EM, Topal E, Ceyhun G. Spontaneous lingual and sublingual haematoma: a rare complication of warfarin use. BMJ Case Rep 2014; 2014.
(11) Pathak R, Supplee S, Aryal MR, Karmacharya P. Warfarin induced sublingual hematoma: a Ludwig angina mimic. Am J Otolaryngol 2015; 36(1):84-6.
(12) Karmacharya P, Pathak R, Ghimire S, Shrestha P, Ghimire S, Poudel DR, et al. Upper Airway Hematoma Secondary to Warfarin Therapy: A Systematic Review of Reported Cases. N Am J Med Sci 2015; 7(11):494-502.
(13) Brotfain E, Koyfman L, Schwartz A, Rusabrov E, Frenkel A, Zlotnik A, et al. Spontaneous sublingual hematoma: surgical or nonsurgical management? Int J Case Rep Imag 2012; 3(1):1-4.
(14) Benumof JL, Scheller MS. The importance of transtracheal jet ventilation in the management of the difficult airway. Anesthesiology 1989; 71(5):769-78.
(15) Ferguson C, Mir F. Transtracheal jet ventilation. Anaesth Intensive Care Med 2011; 12(7):299-302.
(16) Rosenblatt WH. Percutaneous translaryngeal jet ventilation. En: Hagberg CA. Benumof and Hagberg's Airway Management. 3 ed. Philadelphia, PA: Elsevier-Saunders, 2013:592-603.e2.
(17) Rocco C, Guzmán J. Manejo de la vía aérea por acceso infraglótico: ventilación jet y cricotirotomía. Rev Chil Anest 2010; 39:158-66.
(18) Bellemain A, Ghimouz A, Goater P, Lentschener C, Esteve M. Pneumothorax bilatéral au retrait du cathéter de jet ventilation à haute fréquence. Ann Fr Anesth Reanim 2006; 25(4):401-3.
(19) Liu YH, Wang AL, Marchese AD, Kacmarek RM, Jiang Y. Jet or intensive care unit ventilator during simulated percutaneous transtracheal ventilation: a lung model study. Br J Anaesth 2013; 110(3):456-62.
(20) Dillon JK, Christensen B, Fairbanks T, Jurkovich G, Moe KS. The emergent surgical airway: cricothyrotomy vs. tracheotomy. Int J Oral Maxillofac Surg 2013; 42(2):204-8.
(21) Fernández Hinojosa E, Murillo Cabezas F, Puppo Moreno A, Leal Noval SR. Alternativas terapéuticas de la hemorragia masiva. Med Intensiva 2012; 36(7):496-503.
(22) Valero R, Sabaté S, Borràs R, Áñez C, Bermejo S, González Carrasco FJ, et al. Protocolo de manejo de la vía aérea difícil: implicación de la Declaración de Helsinki. Rev Esp Anestesiol Reanim 2013; 60(Supl 1):34-5.
(2) Puri A, Nusrath MA, Harinathan D, Lyall J. Massive sublingual hematoma secondary to anticoagulant therapy complicated by a traumatic denture: a case report. J Med Case Rep 2012; 6:105.
(3) Nuevo González JA, Cano Ballesteros JC, Pintor Holguín E, Braun Saro B, Visús Soler E, Sevillano Fernández JA. Exceso de anticoagulación oral: análisis desde un Servicio de Urgencias. Rev Clin Esp 2008; 208(2):66-70.
(4) Roncalés J. Tratamiento anticoagulante oral: una historia interminable. Med Clín (Barc) 2005; 124(9):338-40.
(5) Fontcuberta J. Anticoagulación oral en enfermedad tromboembólica. Med Clín (Barc) 2008; 131(Supl 2):60-5.
(6) Mallet L, Spinewine A, Huang A. The challenge of managing drug interactions in elderly people. Lancet 2007; 370(9582):185-91.
(7) Cohen AF, Warman SP. Upper airway obstruction secondary to warfarin-induced sublingual hematoma. Arch Otolaryngol Head Neck Surg 1989; 115(6):718-20.
(8) Duwat A, Petiot S, Malaquin S, Hinard S, Dupont H. Cricothyroïdotomie de sauvetage avant trachéotomie chirurgicale : à propos de deux cas. Ann Fr Anesth Reanim 2014; 33(5):364-6.
(9) Lepore ML. Upper airway obstruction induced by warfarin sodium. Arch Otolaryngol 1976; 102(8):505-6.
(10) Buyuklu M, Bakirci EM, Topal E, Ceyhun G. Spontaneous lingual and sublingual haematoma: a rare complication of warfarin use. BMJ Case Rep 2014; 2014.
(11) Pathak R, Supplee S, Aryal MR, Karmacharya P. Warfarin induced sublingual hematoma: a Ludwig angina mimic. Am J Otolaryngol 2015; 36(1):84-6.
(12) Karmacharya P, Pathak R, Ghimire S, Shrestha P, Ghimire S, Poudel DR, et al. Upper Airway Hematoma Secondary to Warfarin Therapy: A Systematic Review of Reported Cases. N Am J Med Sci 2015; 7(11):494-502.
(13) Brotfain E, Koyfman L, Schwartz A, Rusabrov E, Frenkel A, Zlotnik A, et al. Spontaneous sublingual hematoma: surgical or nonsurgical management? Int J Case Rep Imag 2012; 3(1):1-4.
(14) Benumof JL, Scheller MS. The importance of transtracheal jet ventilation in the management of the difficult airway. Anesthesiology 1989; 71(5):769-78.
(15) Ferguson C, Mir F. Transtracheal jet ventilation. Anaesth Intensive Care Med 2011; 12(7):299-302.
(16) Rosenblatt WH. Percutaneous translaryngeal jet ventilation. En: Hagberg CA. Benumof and Hagberg's Airway Management. 3 ed. Philadelphia, PA: Elsevier-Saunders, 2013:592-603.e2.
(17) Rocco C, Guzmán J. Manejo de la vía aérea por acceso infraglótico: ventilación jet y cricotirotomía. Rev Chil Anest 2010; 39:158-66.
(18) Bellemain A, Ghimouz A, Goater P, Lentschener C, Esteve M. Pneumothorax bilatéral au retrait du cathéter de jet ventilation à haute fréquence. Ann Fr Anesth Reanim 2006; 25(4):401-3.
(19) Liu YH, Wang AL, Marchese AD, Kacmarek RM, Jiang Y. Jet or intensive care unit ventilator during simulated percutaneous transtracheal ventilation: a lung model study. Br J Anaesth 2013; 110(3):456-62.
(20) Dillon JK, Christensen B, Fairbanks T, Jurkovich G, Moe KS. The emergent surgical airway: cricothyrotomy vs. tracheotomy. Int J Oral Maxillofac Surg 2013; 42(2):204-8.
(21) Fernández Hinojosa E, Murillo Cabezas F, Puppo Moreno A, Leal Noval SR. Alternativas terapéuticas de la hemorragia masiva. Med Intensiva 2012; 36(7):496-503.
(22) Valero R, Sabaté S, Borràs R, Áñez C, Bermejo S, González Carrasco FJ, et al. Protocolo de manejo de la vía aérea difícil: implicación de la Declaración de Helsinki. Rev Esp Anestesiol Reanim 2013; 60(Supl 1):34-5.
Published
2016-06-30
How to Cite
1.
Moreira E, Ferreira J, Burghi G. Spontaneous sublingual hematoma secondary to anticoagulant therapy with warfarine. Rev. Méd. Urug. [Internet]. 2016Jun.30 [cited 2024May15];32(2):119-23. Available from: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/177
Section
Clinical Cases
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