title: Warfarin-induced sublingual hematoma mimicking Ludwig angina: Conservative management of a potentially life-threatening condition.
abstract: Sublingual hematoma secondary to excessive anticoagulation is a rare, life-threatening condition. Reports in the literature have emphasized the importance of a prompt reversal of the causative coagulopathy by intravenous administration of vitamin K and fresh frozen plasma. In the event of an unstable airway, surgical intervention via tracheostomy or cricothyroidectomy is advocated. We report a case of sublingual hematoma that was treated conservatively, and we discuss the presentation and management of this entity.
authors.affiliation: Department of Otolaryngology, Waterford Regional Hospital, Dunmore Rd., Waterford, Co. Waterford 051-873321, Ireland. emmacashman@gmail.com
authors.forename: Emma
authors.initials: E
authors.lastname: Cashman
authors.forename: Munish
authors.initials: M
authors.lastname: Shandilya
authors.forename: Mohammed
authors.initials: M
authors.lastname: Amin
authors.forename: Joe
authors.initials: J
authors.lastname: Hughes
authors.forename: Michael
authors.initials: M
authors.lastname: Walsh
mesh_terms: D001803:Blood Transfusion; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000139:chemically induced / Q000473:pathology* / Q000628:therapy*; D006801:Humans; D019934:International Normalized Ratio; D008158:Ludwig's Angina / Q000175:diagnosis*; D008875:Middle Aged; D009060:Mouth Floor / Q000473:pathology*; D010949:Plasma; D014812:Vitamin K / Q000627:therapeutic use; D014859:Warfarin / Q000009:adverse effects*
chemical_list: D014812:Vitamin K; D014859:Warfarin