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Aspirin-Induced Massive Spontaneous Sublingual Hematoma
Utkal P Mishra1, Ganakalyan Behera1, Prince Handa1
1Otolaryngology - Head and Neck Surgery, All India Institute of Medical Sciences, Bhopal, IND.
Cureus
|June 20, 2024
Summary
Massive spontaneous sublingual hematoma occurred in a patient on aspirin therapy. Prompt recognition and management, including aspirin cessation and vitamin K, led to recovery.
Area of Science:
- Medicine
- Cardiology
- Hematology
Background:
- Sublingual hematoma is a rare, potentially fatal condition.
- It can be spontaneous or triggered by trauma, procedures, or anticoagulants.
Observation:
- A 45-year-old woman on aspirin for rheumatic heart disease developed a massive spontaneous sublingual hematoma.
- She presented with oral bleeding and neck swelling, indicating an airway risk.
Findings:
- The patient received conservative treatment: aspirin discontinuation and intravenous vitamin K.
- This management led to gradual resolution of the hematoma and a positive outcome.
Implications:
- This case underscores the critical need for rapid diagnosis of sublingual hematoma.
- Early intervention is vital, especially in patients with aspirin-induced coagulopathy.
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