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Effective Non-invasive Treatment of Lingual Hematoma in an End-Stage Renal Disease (ESRD) Patient on Rivaroxaban: A

Abdelwahab Jalal Eldin1, Nassar Mukhtar1, Merawi Adane2

  • 1Internal Medicine, Wilson Medical Center, Wilson, USA.

Cureus
|July 4, 2024
PubMed

Lingual hematoma is a rare, life-threatening condition that can obstruct the airway. We report a 73-year-old male with end-stage renal disease (ESRD) who developed lingual hematoma while on rivaroxaban. He presented with odynophagia and significant tongue swelling. Treatment with vitamin K, dexamethasone, tranexamic acid, and prothrombin complex concentrate led to rapid improvement without the need for intubation. This case highlights the importance of prompt medical management to prevent airway obstruction in similar patients.

Keywords:
atrial fibrillationend-stage renal disease (esrd)lingual hematomarivaroxabanwarfarin

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