Skip to content Skip to navigation

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

| Reprints
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)


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.

ENT Journal provides full text articles to our registered members.
Please log in or sign up for a FREE membership to view the full content:

You may also like to: