SPONTANEOUS SUBLINGUAL HEMATOMA; A RARE EMERGENCY

  • Kamran Zamurrad Malik Combined Military Hospital Nowshera/National University of Medical Sciences (NUMS) Pakistan
  • Ameer Abdullah Combined Military Hospital Kharian/National University of Medical Sciences (NUMS) Pakistan
  • Tarique Ahmed Maka Combined Military Hospital Risalpur/National University of Medical Sciences (NUMS) Pakistan
Keywords: Pseudo–Ludwig’s angina, Sublingual hematoma, Warfarin

Abstract

Sublingual hematoma or pseudo-Ludwig’s phenomenon, is a rare entity seen in anticoagulated patients and can precipitate upper airway obstruction. We present a case of sublingual haematoma with huge swelling in the floor of mouth that impending airway compromise in a mitral valve replaced patient with ominously deranged coagulation profile. Multiple cases reported in the literature of spontaneous sub-mental hematoma with varying management plans, including: conservative management with close observation in IMCU/ICU, prophylactically securing the airways with elective intubation and/or emergency tracheostomy. Some authors proposed an evacuation the hematoma through an incision along the floor of the mouth. This case was kept under intensive care with strict vitals and airway monitoring and managed conservatively.

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Published
2021-06-30
How to Cite
Malik, K., Abdullah, A., & Maka, T. (2021). SPONTANEOUS SUBLINGUAL HEMATOMA; A RARE EMERGENCY. PAFMJ, 71(3), 1121-23. https://doi.org/10.51253/pafmj.v71i3.3172
Section
Case Reports