Document Detail

Upper airway obstruction secondary to warfarin-induced sublingual hematoma.
MedLine Citation:
PMID:  2655669     Owner:  NLM     Status:  MEDLINE    
Sublingual hematoma is a rare but potentially fatal complication of oral warfarin sodium. Less than ten cases are reported in the English-language literature with only two of these appearing in the otolaryngologic literature. Spontaneous bleeding into the sublingual and submaxillary spaces creates a "pseudo-Ludwig's" phenomenon with elevation of the tongue and floor of mouth and subsequent airway compromise. Two new cases, along with a review of the literature are presented. Management is directed at prompt control of the airway and reversal of the coagulopathy. Sore throat is a uniform, early complaint that should be taken seriously in any patient receiving oral anticoagulation therapy.
A F Cohen; S P Warman
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Archives of otolaryngology--head & neck surgery     Volume:  115     ISSN:  0886-4470     ISO Abbreviation:  Arch. Otolaryngol. Head Neck Surg.     Publication Date:  1989 Jun 
Date Detail:
Created Date:  1989-07-06     Completed Date:  1989-07-06     Revised Date:  2006-03-28    
Medline Journal Info:
Nlm Unique ID:  8603209     Medline TA:  Arch Otolaryngol Head Neck Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  718-20     Citation Subset:  AIM; IM    
Department of Otorhinolaryngology, Montefiore Medical Center-Albert Einstein College of Medicine, Yeshiva University, Bronx, NY 10467.
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MeSH Terms
Airway Obstruction / etiology*,  pathology
Hematoma / chemically induced*,  complications,  pathology
Middle Aged
Oral Hemorrhage / chemically induced*,  complications,  pathology
Tongue Diseases / chemically induced*,  complications,  pathology
Warfarin / adverse effects*
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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