Traumatic retropharyngeal haematoma in an anticoagulated patient: Case report and proposal for a clinical protocol.
Retropharyngeal haematomas (RPHs) are rare but potentially life-threatening conditions that require a prompt diagnosis. However, the clinical scenario is not always straightforward as their presentation may be insidious, with no specific signs or symptoms. Treatment of RPH is conservative in the majority of cases, with close observation. Nevertheless, surgical intervention is sometimes indicated for large, non-resolving haematomas. We present the case of a 53-year-old woman on anticoagulant therapy who required evacuation of a traumatic RPH. We also propose a clinical protocol for the management of these entities according to our experience and previous literature reports.
Chiti-Batelli
Sandro
S
Department of Otolaryngology, W. Harvey Hospital, Ashford, UK. sachb@tiscalinet.it
Vaz
F
F
Coman
Scott
S
D000058:Accidental Falls; D000925:Anticoagulants / Q000008:administration & dosage / Q000009:adverse effects*; D001021:Aortic Valve / Q000601:surgery*; D002908:Chronic Disease; D003937:Diagnosis, Differential; D004322:Drainage; D006350:Heart Valve Prosthesis; D006406:Hematoma / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D008482:Mediastinum / Q000293:injuries* / Q000601:surgery; D008875:Middle Aged; D010608:Pharyngeal Diseases / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery; D010614:Pharynx / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014859:Warfarin / Q000008:administration & dosage / Q000009:adverse effects*
D000925:Anticoagulants; D014859:Warfarin