Upper airway hematoma: An unusual presentation of acute upper airway obstruction

Pseudo-Ludwig’s angina: spontaneous sublingual haematoma elicited by warfarin

“…The typical presentation includes symptoms such as dysphagia, sore throat, neck swelling and hoarseness; however, in certain instances, there may be notable respiratory compromise [ 7 ] . Despite the absence of a consensus on management in the literature, in a significant proportion of previously documented cases, the approach to addressing sublingual haematoma induced by warfarin predominantly involved conservative management strategies, preferably under close monitoring in the ICU [ 8 , 9 ] . In their systematic review, Karmacharya et al revealed that reversal of coagulopathy through the administration of vitamin K coupled with the use of fresh frozen plasma is the preferred treatment modality in patients with upper airway haematoma in the absence of respiratory compromise [ 8 ] .…”

Spontant hematom på halsen

“…CT collum viste at hematomet strakk seg retrofaryngealt, uten at dette var synlig i slimhinnen i farynks. I litteraturen er det beskrevet både akutt intubasjon og akutt trakeotomi for å sikre åpne luftveier hos denne pasientgruppen (3,4). Dette ble ikke funnet nødvendig, da respiratoriske parametere var upåfallende.…”