Abstract
Lingual and sublingual haematoma without any associated trauma or any bleeding risk factors are rare entities and commonly
described in patients on anticoagulation therapy. An 81-year-old female presented to our emergency department with a 2-hour- history of tongue swelling. Her medical history consisted of non-medicated hypertension without any coagulopathy. She was not taking
any medication and had not underwent a dental work up. However, she underwent a semi urgent gastroscopy 2 weeks prior. The
examination of the oral cavity revealed a mildly tender haematoma on dorsum and ventral surface of the tongue as well as the floor
of her mouth. Her blood test parameters were within normal limits. She was admitted to otolaryngology ward under close observation for further investigations and probably potentially life-threatening airway obstruction. She remained stable without any progression of her swelling and was discharged home after 2 days without any intervention. On review 1 week later, there was a significant
reduction in her haematoma size. In spite of few case reports of such haematoma in hypertensive patients, we conclude that in this
case delayed lingual and sublingual haematoma following upper GI endoscopy should be considered as her blood pressure was not
severely elevated
described in patients on anticoagulation therapy. An 81-year-old female presented to our emergency department with a 2-hour- history of tongue swelling. Her medical history consisted of non-medicated hypertension without any coagulopathy. She was not taking
any medication and had not underwent a dental work up. However, she underwent a semi urgent gastroscopy 2 weeks prior. The
examination of the oral cavity revealed a mildly tender haematoma on dorsum and ventral surface of the tongue as well as the floor
of her mouth. Her blood test parameters were within normal limits. She was admitted to otolaryngology ward under close observation for further investigations and probably potentially life-threatening airway obstruction. She remained stable without any progression of her swelling and was discharged home after 2 days without any intervention. On review 1 week later, there was a significant
reduction in her haematoma size. In spite of few case reports of such haematoma in hypertensive patients, we conclude that in this
case delayed lingual and sublingual haematoma following upper GI endoscopy should be considered as her blood pressure was not
severely elevated
| Original language | English |
|---|---|
| Number of pages | 3 |
| Journal | Emergency Medicine and Trauma Care Journal |
| Volume | 2019 |
| Issue number | 2 |
| Publication status | Published - Dec 2019 |