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Concurrent Spontaneous Sublingual and Intramural Small Bowel Hematoma due to Warfarin Use.

Pamukçu Günaydın G, Çiftçi Sivri HD, Sivri S, Otal Y, Özhasenekler A, Kurtoğlu Çelik G - Case Rep Emerg Med (2015)

Bottom Line: His abdomen tomography demonstrated intestinal submucosal hemorrhage in the ileum.He was admitted to surgical floor, monitored closely, and discharged on day 4.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, Ankara Atatürk Training and Research Hospital, Çankaya, 06800 Ankara, Turkey.

ABSTRACT
Introduction. We present a case of concurrent spontaneous sublingual and intramural small bowel hematoma due to warfarin anticoagulation. Case. A 71-year-old man presented to the emergency department complaining of a swollen, painful tongue. He was on warfarin therapy. Physical examination revealed sublingual hematoma. His international normalized ratio was 11.9. The computed tomography scan of the neck demonstrated sublingual hematoma. He was admitted to emergency department observation unit, monitored closely; anticoagulation was reversed with fresh frozen plasma and vitamin K. 26 hours after his arrival to the emergency department, his abdominal pain and melena started. His abdomen tomography demonstrated intestinal submucosal hemorrhage in the ileum. He was admitted to surgical floor, monitored closely, and discharged on day 4. Conclusion. Since the patient did not have airway compromise holding anticoagulant, reversing anticoagulation, close monitoring and observation were enough for management of both sublingual and spontaneous intramural small bowel hematoma.

No MeSH data available.


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Sublingual hematoma.
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fig1: Sublingual hematoma.

Mentions: His vital signs were within normal limits. Oral physical examination revealed 3 × 3 cm sized, red-purple, tense, and tender mass consistent with a sublingual hematoma (Figure 1). He was not in respiratory distress and did not have stridor. The submental triangle was swollen and ecchymotic (Figure 2).


Concurrent Spontaneous Sublingual and Intramural Small Bowel Hematoma due to Warfarin Use.

Pamukçu Günaydın G, Çiftçi Sivri HD, Sivri S, Otal Y, Özhasenekler A, Kurtoğlu Çelik G - Case Rep Emerg Med (2015)

Sublingual hematoma.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663292&req=5

fig1: Sublingual hematoma.
Mentions: His vital signs were within normal limits. Oral physical examination revealed 3 × 3 cm sized, red-purple, tense, and tender mass consistent with a sublingual hematoma (Figure 1). He was not in respiratory distress and did not have stridor. The submental triangle was swollen and ecchymotic (Figure 2).

Bottom Line: His abdomen tomography demonstrated intestinal submucosal hemorrhage in the ileum.He was admitted to surgical floor, monitored closely, and discharged on day 4.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, Ankara Atatürk Training and Research Hospital, Çankaya, 06800 Ankara, Turkey.

ABSTRACT
Introduction. We present a case of concurrent spontaneous sublingual and intramural small bowel hematoma due to warfarin anticoagulation. Case. A 71-year-old man presented to the emergency department complaining of a swollen, painful tongue. He was on warfarin therapy. Physical examination revealed sublingual hematoma. His international normalized ratio was 11.9. The computed tomography scan of the neck demonstrated sublingual hematoma. He was admitted to emergency department observation unit, monitored closely; anticoagulation was reversed with fresh frozen plasma and vitamin K. 26 hours after his arrival to the emergency department, his abdominal pain and melena started. His abdomen tomography demonstrated intestinal submucosal hemorrhage in the ileum. He was admitted to surgical floor, monitored closely, and discharged on day 4. Conclusion. Since the patient did not have airway compromise holding anticoagulant, reversing anticoagulation, close monitoring and observation were enough for management of both sublingual and spontaneous intramural small bowel hematoma.

No MeSH data available.


Related in: MedlinePlus