Spontaneous laryngeal haematoma leading to airway obstruction after vaginal delivery

Eidesheim, M.; Bouaziz, Hervé; François, T.; Herbain, Delphine; Baka, Nour-Eddine; Vial, F.

doi:10.1016/j.ijoa.2018.05.003

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…Acute haematomas of the upper airway including the pharynx are rare but life-threatening conditions that may rapidly cause acute airway obstruction. In fact, it has been reported that these conditions compromised the upper airway for a few minutes to several hours 3 4. Our patient was carefully observed in the ICU because he had strider and hypoxia, which indicated a high risk of upper airway obstruction.…”

Section: Discussionmentioning

confidence: 78%

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Unusual cause of acute upper airway obstruction: spontaneous pharyngeal haematoma

Okada¹,

Okazaki²,

Ichiba³

et al. 2021

BMJ Case Rep

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Spontaneous pharyngeal haematoma is a rare but life-threatening cause of acute upper airway obstruction, and the clinical manifestation may mimic haemoptysis. A 65-year-old man presented to our emergency department with symptoms of sore throat and haemoptysis. He had no medical history. At arrival, O2 saturation was 95% on 5 L/min of oxygen with a mask. Results of a blood examination including a coagulation test were normal. Laryngoscopy showed enlargement of the left pharynx and a narrowed airway. Contrast-enhanced CT showed extravascular leakage of contrast medium inside the left pharyngeal haematoma. Fortunately, the haematoma did not lead to airway obstruction, and it decreased spontaneously. We finally diagnosed this case as spontaneous pharyngeal haematoma. When we examine a patient with a symptom of haemoptysis accompanied by sore throat, it is necessary to consider pharyngeal haematoma and to prepare emergency airway protection for acute upper airway obstruction.

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Section: Discussionmentioning

confidence: 78%

“…Acute haematomas of the neck and upper airway are usually caused by trauma, tumours1 or anticoagulants 2. Only a few cases of spontaneous haematomas of these sites have been reported 3 4. These conditions have the possibility of causing acute upper airway obstruction, and we should recognise them even if their frequency is low.…”

Section: Introductionmentioning

confidence: 99%

Unusual cause of acute upper airway obstruction: spontaneous pharyngeal haematoma

Okada¹,

Okazaki²,

Ichiba³

et al. 2021

BMJ Case Rep

View full text Add to dashboard Cite

show abstract

“…Possible requirements for endotracheal intubation and tracheotomy should also be considered. 8 Prothrombin complex concentrate (PCC) and FFP are effective agents used to rapidly reverse the effects of warfarin. Both PCC and FFP contain factors II, VII, IX, X and proteins C and S. However, PCC is a faster-acting therapeutic agent than FPP for reversing warfarinization.…”

Section: Discussionmentioning

confidence: 99%

Larengeal and Sublingual Hematoma Causing Upper Airway Obstruction Due to the Use of Warfarin

Topal¹,

Kars²,

Atalay³

2022

KBB ve BBC Dergisi

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Warfarin is a commonly used anticoagulant agent. Spontaneous bleeding and hematoma are complications that may be encountered during warfarin use. Gastrointestinal and genitourinary bleedings, intracranial hemorrhages, and nasal and submucosal hemorrhages may also occur during warfarin use. Upper airway hematoma is a rare complication but must be rapidly diagnosed as it can cause airway obstruction. 1,2 It is important to recognize this life-threatening emergency, to differentiate it from other pathologies such as anaphylaxis, and to treat it quickly and ef-fectively. We report the case of laryngeal and sublingual hematoma causing airway obstruction due to the use of warfarin. CASE REPORTWritten informed consent was obtained from the patient who participated in this case. A 61-year-old male patient presented with hoarseness, dyspnea, and sore throat, odynophagia for 4 to 5 days. The saturation of the patient with breathing difficulties without oxygen support was measured as 94%. His physical examination revealed sublingual edema

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Spontaneous laryngeal haematoma leading to airway obstruction after vaginal delivery

Cited by 2 publications

References 5 publications

Unusual cause of acute upper airway obstruction: spontaneous pharyngeal haematoma

Unusual cause of acute upper airway obstruction: spontaneous pharyngeal haematoma

Larengeal and Sublingual Hematoma Causing Upper Airway Obstruction Due to the Use of Warfarin

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