SPONTANEOUS SUBLINGUAL HEMATOMA SECONDARY TO CONTINUOUS USE OF VARFARINE: A CLINICAL EMERGENCY

Abstract

Sublingual hematoma is characterized by elevation of the bruising/bleeding lingual floor, suggestion below the tongue bleeding after coagulation disorders and/or trauma in the region. The study aims to describe a case of sublingual hematoma spontaneous secondary to the use continuous of an anticoagulant, witch prognosed favorable after therapeutic approach conservative. Patient, MGC, 68 years old, admitted to the urgency/emergency service of the Hospital da Restauração Governador Paulo Guerra – SES/PE, witch history spontaneous swelling about 12 hours, with extensive bruise sublingual and below the jaw, difficulty talking, respiratory and pain complaint; well as bruises at the extremities, melena and intense arthralgia. Referred to use of the Marevan® 10 mg (Warfarin), acetyl salicylic acid (AAS)100 mg and Digoxin 0,25 mg after accident brain vascular ischemic. Due to the clinical condition, medication suspended, there was the request routine coagulogram, endoscopy, and ventilate support until the remission of the symptoms; for later adjustment of the appropriate dosage. Conservative treatment proved effective for such a case. Sublingual hematoma is fatal complication rare and potentially, being normaly due use of oral anticoagulants, essentially clinical diagnoses and therapeutic approach conservative is successful, since casual factors are controlled.