Warfarin-induced sublingual hematoma mimicking Ludwig angina: Conservative management of a potentially life-threatening condition

February 1, 2011 by Emma Cashman, MD, MRCSI, Munish Shandilya, MD, FRCSI(ORL), Mohammed Amin, MD, FRCSI(ORL), Joe Hughes, MD, FRCSI(ORL), and Michael Walsh, MD, FRCSI(ORL)
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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.

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