Mishra Utkal P, Behera Ganakalyan, Handa Prince, Singh Rohit, Nawas Fasin
Otolaryngology - Head and Neck Surgery, All India Institute of Medical Sciences, Bhopal, IND.
Cureus. 2024 May 20;16(5):e60684. doi: 10.7759/cureus.60684. eCollection 2024 May.
Sublingual hematoma, a rare but potentially life-threatening condition, can arise spontaneously or secondary to various triggers, including trauma, dental procedures, or anticoagulant therapy. We present a case of massive spontaneous sublingual hematoma in a 45-year-old woman receiving aspirin therapy for rheumatic heart disease. Despite the absence of trauma or procedural triggers, the patient presented with bleeding from the floor of the mouth and significant submental swelling, prompting urgent intervention to secure the airway and manage coagulopathy. Conservative measures, including discontinuation of aspirin and intravenous vitamin K administration, led to gradual hematoma resolution and favorable patient outcomes. This case highlights the importance of prompt recognition and early management of sublingual hematoma, particularly in the context of aspirin therapy-induced coagulopathy.
舌下血肿是一种罕见但可能危及生命的病症，可自发出现或继发于各种诱因，包括创伤、牙科手术或抗凝治疗。我们报告一例45岁患有风湿性心脏病且正在接受阿司匹林治疗的女性发生大规模自发性舌下血肿的病例。尽管没有创伤或手术诱因，但该患者出现了口腔底部出血和明显的颏下肿胀，促使进行紧急干预以确保气道安全并处理凝血功能障碍。包括停用阿司匹林和静脉注射维生素K在内的保守措施使血肿逐渐消退，患者预后良好。该病例强调了及时识别和早期处理舌下血肿的重要性，尤其是在阿司匹林治疗引起凝血功能障碍的情况下。
