An Old Complication Welcomes Us in the Modern Era: Lingual Hematoma During Thrombolytic Therapy

Sevda Aygün; Uğur Canpolat

doi:10.58600/eurjther1639

Authors

Sevda Aygün Hacettepe University Faculty of Medicine, Department of Cardiology, Ankara, Turkey https://orcid.org/0000-0001-6105-4692
Uğur Canpolat Hacettepe University Faculty of Medicine, Department of Cardiology, Ankara, Turkey https://orcid.org/0000-0002-4250-1706

DOI:

https://doi.org/10.58600/eurjther1639

Keywords:

lingual hematoma, rescue thrombolysis, complication

Abstract

Lingual hematoma is a rare but potentially life-threatening clinical condition. Securing the airway and urgent treatment for underlying reasons are key management steps. We reported a case to illustrate the management of a lingual hematoma after rescue thrombolysis for a ST-segment elevation myocardial infarction (STEMI) patient.

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References

Keeley EC, Boura JA, Grines CL (2003) Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review of 23 randomised trials. Lancet 361:13-20. https://doi.org/10.1016/S0140-6736(03)12113-7

Hilleman DE, Tsikouris JP, Seals AA, Marmur JD (2007) Fibrinolytic agents for the management of ST-segment elevation myocardial infarction. Pharmacotherapy 27:1558-1570. https://doi.org/10.1592/phco.27.11.1558

Takeuchi M, Shikimori M, Kaneda T (1986) Life-threatening sublingual hematoma in a severely hemophilic patient with factor VIII inhibitor. J Oral Maxillofac Surg 44:401-403. https://doi.org/10.1016/s0278-2391(86)80038-6

Mehra M, Chiesa AE, Sirotnak AP (2015) Two cases of sublingual hematoma as a manifestation of child abuse. Ear Nose Throat J 94:494-496

Cohen AF, Warman SP (1989) Upper airway obstruction secondary to warfarin-induced sublingual hematoma. Arch Otolaryngol Head Neck Surg 115:718-720. https://doi.org/10.1001/archotol.1989.01860300072020

Song Z, Laggan B, Parulis A (2008) Lingual hematoma treatment rationales: a case report. J Oral Maxillofac Surg 66:535-539. https://doi.org/10.1016/j.joms.2006.09.023

Williams PJ, Jani P, McGlashan J (1994) Lingual haematoma following treatment with streptokinase and heparin; anaesthetic management. Anaesthesia 49:417-418. https://doi.org/10.1111/j.1365-2044.1994.tb03477.x

Armstrong PW, Gershlick AH, Goldstein P, Wilcox R, Danays T, Lambert Y, Sulimov V, Rosell Ortiz F, Ostojic M, Welsh RC, Carvalho AC, Nanas J, Arntz HR, Halvorsen S, Huber K, Grajek S, Fresco C, Bluhmki E, Regelin A, Vandenberghe K, Bogaerts K, Van de Werf F, Team SI (2013) Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction. N Engl J Med 368:1379-1387. https://doi.org/10.1056/NEJMoa1301092

Assessment of the S, Efficacy of a New Thrombolytic I, Van De Werf F, Adgey J, Ardissino D, Armstrong PW, Aylward P, Barbash G, Betriu A, Binbrek AS, Califf R, Diaz R, Fanebust R, Fox K, Granger C, Heikkila J, Husted S, Jansky P, Langer A, Lupi E, Maseri A, Meyer J, Mlczoch J, Mocceti D, Myburgh D, Oto A, Paolasso E, Pehrsson K, Seabra-Gomes R, Soares-Piegas L, Sugrue D, Tendera M, Topol E, Toutouzas P, Vahanian A, Verheugt F, Wallentin L, White H (1999) Single-bolus tenecteplase compared with front-loaded alteplase in acute myocardial infarction: the ASSENT-2 double-blind randomised trial. Lancet 354:716-722. https://doi.org/10.1016/s0140-6736(99)07403-6

Bal M, Atar Y, Salturk Z, Ates AH, Yagci S, Coskun Bal G (2013) Lingual Haematoma due to Tenecteplase in a Patient with Acute Myocardial Infarction. Case Rep Otolaryngol 2013:239796. https://doi.org/10.1155/2013/239796

Shaw RJ, McNaughton GW (2001) Emergency airway management in a case of lingual haematoma. Emerg Med J 18:408-409. https://doi.org/10.1136/emj.18.5.408