Small bowel intramural hematoma caused by warfarin: case report and literature review

Wang, Zihao; Jiang, Tianxiang; Mu, Mingchun; Shen, Chaoyong; Cai, Zhaolun; Chen, Haining; Zhang, Bo

doi:10.1080/00365521.2024.2337830

Scandinavian Journal of Gastroenterology

2024

DOI: 10.1080/00365521.2024.2337830

|View full text |Cite

Small bowel intramural hematoma caused by warfarin: case report and literature review

Zihao Wang,

Tianxiang Jiang,

Mingchun Mu

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Warfarin

2024

Reactions Weekly

View full text Add to dashboard Cite

Warfarin

2024

Reactions Weekly

View full text Add to dashboard Cite

Sublingual hematoma as a rare complication of warfarin therapy in a patient with rheumatic heart disease: a case report

Idrees,

Jain,

Masood

et al. 2024

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Introduction and importance: Warfarin prevents thromboembolic events by acting as a vitamin -K antagonist. Close monitoring with an international normalized ratio (INR) is required to avoid bleeding-related complications. One of its rare complications is sublingual hematoma, with potentially life-threatening conditions such as severe airway obstruction. We present a rare case of sublingual hematoma after warfarin therapy in a patient with rheumatic heart disease (RHD). Case Presentation: We report a case of a 44-year-old female with rheumatic heart disease who developed sublingual hematoma following warfarin therapy. She presented with difficulty swallowing and speaking due to pain and swelling under her tongue. Her INR was elevated. After discontinuing the drug, the patient received fresh frozen plasma and intravenous vitamin K. Her symptoms resolved within 24 hours, and she was discharged without any complications. As per our understanding, this is the first case of sublingual hematoma secondary to warfarin therapy that has been reported in Pakistan. Clinical discussion: Warfarin remains a cornerstone anticoagulant in developing countries despite bleeding risks, with management of complications like sublingual hematoma involving INR normalization and conservative treatment. Timely intervention and monitoring of drug interactions are critical in preventing serious outcomes and reducing mortality associated with warfarin therapy. Conclusion: Warfarin is a commonly prescribed oral anticoagulant for a variety of conditions. Despite being rare, sublingual hematoma should be considered by the treating physician as a potential complication.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Small bowel intramural hematoma caused by warfarin: case report and literature review

Cited by 2 publications

References 44 publications

Warfarin

Warfarin

Sublingual hematoma as a rare complication of warfarin therapy in a patient with rheumatic heart disease: a case report

Contact Info

Product

Resources

About