Spontaneous sublingual hematoma as a complication of severe hypertension: first report of a case.
We describe what we believe is the first reported case of a sublingual hematoma secondary to severe hypertension. The patient, a 77-year-old woman, experienced a spontaneous hematoma of the floor of the mouth, tongue, and sublingual space that eventually caused an airway obstruction. We performed an emergency tracheostomy under local anesthesia and then evacuated the hematoma through an incision along the floor of the mouth. The patient recovered uneventfully.
Department of Otolaryngology, University of Malaya Medical Center, Kuala Lumpur, 50603 Malaysia. prepageran@yahoo.com
Narayanan
N
Prepageran
Rajagopalan
R
Raman
Siti Mazlipah
SM
Ismail
Zainal Ariff Abdul
ZA
Rahman
D000368:Aged; D000402:Airway Obstruction / Q000601:surgery; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000175:diagnosis; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D014060:Tongue Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014139:Tracheostomy / Q000379:methods; D016896:Treatment Outcome