This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Alan F. Cohen, MD; Stephen P. Warman, MD

Arch Otolaryngol Head Neck Surg. 1989;115(6):718-720.

Abstract
• Sublingual hematoma is a rare but potentially fatal complication of oral warfarin sodium. Less than ten cases are reported in the English-language literature with only two of these appearing in the otolaryngologic literature. Spontaneous bleeding into the sublingual and submaxillary spaces creates a "pseudo-Ludwig's" phenomenon with elevation of the tongue and floor of mouth and subsequent airway compromise. Two new cases, along with a review of the literature are presented. Management is directed at prompt control of the airway and reversal of the coagulopathy. Sore throat is a uniform, early complaint that should be taken seriously in any patient receiving oral anticoagulation therapy.

(Arch Otolaryngol Head Neck Surg 1989;115:718-720)

Author Affiliations
From the Department of Otorhinolaryngology, Montefiore Medical Center–Albert Einstein College of Medicine of Yeshiva University, Bronx, NY.

Footnotes
Accepted for publication Dec 2, 1988.

Reprint requests to Montefiore Medical Center, 111 E 210th St VCA-7, Bronx, NY 10467 (Dr Cohen).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?