PMID: 11320626Apr 26, 2001Paper

Dyspnea caused by spontaneous hematoma of the oropharynx and larynx during marcumar therapy

HNO
K Götte, K Hörmann

Abstract

A patient with a history of tachycardiac atrial fibrillation and pulmonary embolism was admitted to the emergency unit with acute shortness of breath. The patient was on coumarin medication. Pulmonary embolism, heart failure, or pulmonary edema could be ruled out. Laryngoscopy revealed a huge hematoma of both valleculae extending to the lateral pharyngeal wall and the epiglottis. The epiglottic cartilage was displaced to the posterior pharyngeal wall. The INR was > 6. Prothrombin complex, vitamin K1, corticoids, and fresh frozen plasma were administered immediately. The patient was monitored--without tracheotomy--in the intensive care unit and received oxygen. In a patient with dyspnea, impaired ventilation has to be considered besides impaired perfusion or diffusion.

Citations

Feb 10, 2011·Otolaryngologia polska. The Polish otolaryngology·Jacek KozakiewiczJerzy Stockfish

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