Spontaneous Sublingual Hematoma as a Complication of Severe Hypertension: First Report of a Case

Abstract

We describe what we believe is the first reported case of a sublingual hematoma secondary to severe hypertension. The patient, a 77-year-old woman, experienced a spontaneous hematoma of the floor of the mouth, tongue, and sublingual space that eventually caused an airway obstruction. We performed an emergency tracheostomy under local anesthesia and then evacuated the hematoma through an incision along the floor of the mouth. The patient recovered uneventfully.

References

Cohen

A.F.

, Warman

S.P.

Upper airway obstruction secondary to warfarin-induced sublingual hematoma. Arch Otolaryngol Head Neck Surg 1989; 115: 718–20.

Hing

N.R.

, Bowler

M.D.

, Byth

P.L.

, Daly

C.G.

Lingual haematoma leading to upper airway obstruction. Br J Oral Maxillofac Surg 1985; 23: 322–5.

Kattan

, Snyder

H.S.

Lingual artery hematoma resulting in upper airway obstruction. J Emerg Med 1991; 9: 421–4.

Chase

C.R.

, Hebert

J.C.

, Farnham

J.E.

Post-traumatic upper airway obstruction secondary to a lingual artery hematoma. J Trauma 1987; 27: 953–4.

K.P.

Lingual haematoma: Yet another unusual cause of upper airway obstruction. Med J Malaysia 1998; 53: 112–4.