Spontaneous sublingual space hematoma secondary to hypertension: A case report and review of literature

Abstract

Sublingual hematoma is a rare complication of oral anticoagulant use. Spontaneous sublingual hematoma secondary to hypertension is even rarer and their management remains enigmatic. We present such a case that we successfully managed conservatively along with a review of relevant literatures.

Aspirin-Induced Massive Spontaneous Sublingual Hematoma

“…Most of the previously reported cases of sublingual hematoma occurred as a result of submucosal bleeding triggered by maxillofacial trauma, tongue trauma, tongue bite following a seizure episode, bleeding disorders, and warfarin-induced coagulopathy [ 4 , 5 ]. Coagulopathy-induced sublingual hematoma occurs due to the rupture of atherosclerotic lingual vessels supplying floor-of-mouth musculatures [ 6 ].…”

Isolated sublingual hematoma post internal carotid artery stenting for internal carotid artery stenosis in high-risk patients as uncommon and rare misadventure: A case report and review of literature

“…All of these factors may interfere with the patency of the upper airway and may cause respiratory compromise. Airway obstruction leads to secondary pulmonary edema as well as anoxic brain damage [16] , [17] , [18] , [19] . However, early complaint of sore throat, may be the first presentation, particularly in patients receiving dual antiplatelet and anticoagulant therapy [14] , [15] .…”

Surgical drainage of spontaneous sublingual haematoma

“…Further to support this, the majority of the literature around management of spontaneous sublingual haematoma references a median age range of 60 years 3–5. To highlight this, reference is made to a paper published on conservative management of a patient in his 60s who required 3 weeks of treatment for a similar presentation 4 5. This is not optimal care in a patient over the age of 80, as there are poorer outcomes associated with anaesthesia in older populations 6.…”