title: Spontaneous epiglottic hematoma secondary to supratherapeutic anticoagulation.
abstract: Hemorrhage into the soft tissues of the airway represents a potentially life-threatening complication of long-term anticoagulation. We report the case of a chronically anticoagulated 37-year-old male who developed a spontaneous hematoma of the epiglottis secondary to a supra-therapeutic INR. Epiglottic hematoma should be considered in the differential of any anticoagulated patient presenting with upper airway compromise. The airway should be secured in a controlled fashion, and the coagulopathy should be rapidly corrected.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
authors.forename: Cody A
authors.initials: CA
authors.lastname: Koch
authors.forename: Steven M
authors.initials: SM
authors.lastname: Olsen
authors.forename: Amy M
authors.initials: AM
authors.lastname: Saleh
authors.forename: Laura J
authors.initials: LJ
authors.lastname: Orvidas