Traumatic Retropharyngeal Hematoma in a Patient Taking Clopidogrel

Betten, David P.; Jaquint, Jennifer L.

doi:10.1155/2018/6147473

Cited by 9 publications

(10 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Bleeding in this space is rare; however, it may cause airway obstruction and sometimes requires emergency intubation. Most reported cases have been related to head and neck trauma, use of anticoagulants, or underlying bleeding diathesis [1][2][3]. In our case, two mechanisms of injury were suspected.…”

Section: Discussionmentioning

confidence: 66%

“…Retropharyngeal hematoma is a potentially life-threatening condition due to the risk of airway obstruction. Previous reports have suggested causative factors, such as head and neck trauma, the use of anticoagulants, or an underlying bleeding diathesis [1][2][3]. Herein, we report a case of retropharyngeal hematoma in a patient with chronic alcoholism for whom we could not confirm any predisposing factors at the time of examination.…”

Section: Introductionmentioning

confidence: 64%

See 1 more Smart Citation

Retropharyngeal hematoma in a patient with chronic alcoholism

Shoji¹,

Miyagawa²,

Tanikawa

et al. 2021

The American Journal of Emergency Medicine

View full text Add to dashboard Cite

Retropharyngeal hematoma is a potentially life-threatening condition because it can easily lead to airway obstruction. Most of the previously reported cases of retropharyngeal hematoma are caused by predisposing factors such as head and neck trauma, the use of anticoagulants, or the presence of underlying bleeding diathesis. Herein, we report a case of retropharyngeal hematoma in a patient with chronic alcoholism, where we could not confirm any predisposing factors at the time of examination. A 61-year-old man with chronic alcoholism presented to our emergency department with convulsive seizures. He was diagnosed with alcohol withdrawal and transferred to a secondary hospital after the seizure resolved. However, a few hours later, he returned to our department with a persistent cough and complained of pain and swelling in the neck. One hour later, he suddenly developed dyspnea; therefore, emergency intubation was performed. Although initially computed tomography (CT) showed normal findings, contrast-enhanced CT revealed a retropharyngeal hematoma. He was managed conservatively and transferred to a specialty hospital for intensive care. Chronic alcoholism may be a predisposing factor for retropharyngeal hematoma due to the high incidence of head trauma, neck hyperextension by convulsion, and hemostatic disorders. However, taking an accurate patient history is sometimes difficult because of the effects of intoxication or alcohol withdrawal. If a patient with chronic alcoholism presents with symptoms of airway compression, then a retropharyngeal hematoma should be suspected, and emergency intubation should be considered.

show abstract

Section: Discussionmentioning

confidence: 66%

Section: Introductionmentioning

confidence: 64%

Retropharyngeal hematoma in a patient with chronic alcoholism

Shoji¹,

Miyagawa²,

Tanikawa

et al. 2021

The American Journal of Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…9 The literature describes retropharyngeal haematomas associated with warfarin, clopidogrel and aspirin, especially in the context of trauma. 5,10 However, to the best of our knowledge, this is the first reported case of an atraumatic retropharyngeal haematoma associated with indomethacin.…”

Section: Introductionmentioning

confidence: 80%

A spontaneous retropharyngeal haematoma: a suspected side-effect of indomethacin

Crossley¹,

Goldie²,

Kirkby-Bott

et al. 2021

J. Laryngol. Otol.

View full text Add to dashboard Cite

Background Retropharyngeal haematomas are most commonly associated with trauma and anti-coagulant use. This paper describes the first reported case of a spontaneous retropharyngeal haematoma suspected to be due to indomethacin use. Case report It is proposed that the combination of indomethacin affecting platelet aggregation, alongside the patient coughing, may have led to this retropharyngeal haematoma. Conclusion The complexities of management are discussed and the current literature reviewed. In the absence of airway compromise or a rapidly enlarging haematoma, patients can be managed conservatively with observation and close discussion with the haematology department. Follow-up imaging is not necessary if the patient's symptoms settle; however, any increase in parathyroid hormone levels must be investigated to exclude a parathyroid adenoma.

show abstract

“…There are two main reasons of RH: trauma and bleeding diathesis. [4] While a history of trauma is the most frequent reason, spontaneous RHs may also occur, typically in those with bleeding diathesis due to genetic disorders or oral anticoagulants. [5] Less than seventy cases have been reported in the literature on airway obstruction due to RH with isolated trauma and no spine injury.…”

Section: Discussionmentioning

confidence: 99%

Retropharyngeal hematoma: Two case reports

Cengiz¹

2021

KBB Uygulamaları

View full text Add to dashboard Cite

Retrofarengeal hematom (RH), whiplash kafa travması ve antikoagülan kaynaklı koagülopatinin (AKK) nadir fakat potansiyel olarak ciddi bir komplikasyonudur. Literatürde, hematomun cerrahi drenajı kararı konusunda ikilem vardır ve fazla veri bulunmaktadır. Bu yazıda, acil servise farklı etyoloji ve semptomlarla başvuran iki ayrı olgu sunuldu. İlk olgu, kalp kapak hastalığı nedeniyle uzun süredir varfarin sodyum kullanan ve ilacın dozunu ayarlayamayan bir hastada gelişen spontan RH idi ve ikinci olgu, bir çocukta minör kafa travmasından sonra izole bir hematom idi. İlk hastaya acil trakeotomi gerekirken ikinci hastaya konservatif tedavi uygulandı. Retrofarengeal hematomda tedavi, etyolojiye ve semptomların şiddetine göre değişebilir. Hava yolu tıkanıklığı belirtileri ortaya çıktığında, tamamen tıkanma meydana gelmeden önce hava yolu derhal emniyete alınmalıdır. Antikoagüle bir hasta üst solunum yolu semptomları gösterdiğinde RH tanısı düşünülmelidir.

show abstract

Traumatic Retropharyngeal Hematoma in a Patient Taking Clopidogrel

Cited by 9 publications

References 18 publications

Retropharyngeal hematoma in a patient with chronic alcoholism

Retropharyngeal hematoma in a patient with chronic alcoholism

A spontaneous retropharyngeal haematoma: a suspected side-effect of indomethacin

Retropharyngeal hematoma: Two case reports

Contact Info

Product

Resources

About