Sublingual haematoma: an unusual complication of oral anticoagulation therapy: about one case

Bleeding complications of oral anticoagulant therapy are not rare. The locations for bleeding are most often gastrointestinal, genitourinary and intracranial. Upper airway obstruction remains one of the reported complications. It is produced in most cases by a retropharyngeal haematoma. On the other...

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Bibliographic Details
Published in:Annales françaises d'anesthésie et de réanimation 2008-01, Vol.27 (1), p.94
Main Authors: Mouhaoui, M, Khaleq, K, Yaqini, K, Louardi, H
Format: Article
Language:eng ; fre
Subjects:
Accidents, Home
Acenocoumarol - administration & dosage
Acenocoumarol - adverse effects
Administration, Oral
Adolescent
Airway Obstruction - etiology
Airway Obstruction - therapy
Anticoagulants - administration & dosage
Anticoagulants - adverse effects
Drug Overdose
Erythrocyte Transfusion
Heart Valve Prosthesis
Hematoma - chemically induced
Hematoma - complications
Humans
Intubation, Intratracheal
Male
Mouth Floor
Plasma
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Summary:Bleeding complications of oral anticoagulant therapy are not rare. The locations for bleeding are most often gastrointestinal, genitourinary and intracranial. Upper airway obstruction remains one of the reported complications. It is produced in most cases by a retropharyngeal haematoma. On the other hand, sublingual haematoma is exceptional and constitutes a problem to secure patient's airway. We report the case of a 16-year-old patient, admitted tenhours after accidental ingestion of 40mg of Sintrom((R)) with major breathing difficulty, haemoptysis and epistaxis. The endotracheal intubation was performed blindly using an Eschmann candle. This rare complication should be prevented by an adapted clinical and biological monitoring.
ISSN:1769-6623
DOI:10.1016/j.annfar.2007.10.032