Lingual hematoma, rare complication in a hemodialysis patient. A case presentation
The case of a 78-years-old female patient with a chronic renal failure history under dialysis for nine years is presented. Four hours after finishing the hemodialysis, she began to experience pain in the oral cavity, a feeling of a busy mouth, and difficulty breathing. She was urgently transferred t...
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Format: | Article |
Language: | Spanish |
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Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2024-07-01
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Series: | Medisur |
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Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/45203 |
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author | Yuliel Varona Rodríguez |
author_facet | Yuliel Varona Rodríguez |
author_sort | Yuliel Varona Rodríguez |
collection | DOAJ |
description | The case of a 78-years-old female patient with a chronic renal failure history under dialysis for nine years is presented. Four hours after finishing the hemodialysis, she began to experience pain in the oral cavity, a feeling of a busy mouth, and difficulty breathing. She was urgently transferred to the operating room where an emergency tracheostomy was performed due to lingual hematoma with extension to deep planes and compromised ventilation. This is an extremely rare complication that occurs frequently at the retropharyngeal or laryngeal level. Its appearance is potentially dangerous as it causes elevation of the floor of the mouth, obstruction of the airway and compromised ventilation. The presence of odynophagia and/or dysphagia in an anticoagulated patient should put the treating physician on alert; for this reason and because of the rarity of this situation, it was decided to publish the case. |
format | Article |
id | doaj-art-758bbee1eb40471f8033286ecfc553f1 |
institution | Kabale University |
issn | 1727-897X |
language | Spanish |
publishDate | 2024-07-01 |
publisher | Centro Provincial de Información de Ciencias Médicas. Cienfuegos |
record_format | Article |
series | Medisur |
spelling | doaj-art-758bbee1eb40471f8033286ecfc553f12025-01-30T21:29:03ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2024-07-012248478532525Lingual hematoma, rare complication in a hemodialysis patient. A case presentationYuliel Varona Rodríguez0Hospital General Docente Martín Chang Puga. Universidad de Ciencias Médicas de Camagüey. Cuba.The case of a 78-years-old female patient with a chronic renal failure history under dialysis for nine years is presented. Four hours after finishing the hemodialysis, she began to experience pain in the oral cavity, a feeling of a busy mouth, and difficulty breathing. She was urgently transferred to the operating room where an emergency tracheostomy was performed due to lingual hematoma with extension to deep planes and compromised ventilation. This is an extremely rare complication that occurs frequently at the retropharyngeal or laryngeal level. Its appearance is potentially dangerous as it causes elevation of the floor of the mouth, obstruction of the airway and compromised ventilation. The presence of odynophagia and/or dysphagia in an anticoagulated patient should put the treating physician on alert; for this reason and because of the rarity of this situation, it was decided to publish the case.http://medisur.sld.cu/index.php/medisur/article/view/45203hematomalenguadiálisis renalinsuficiencia renal crónica |
spellingShingle | Yuliel Varona Rodríguez Lingual hematoma, rare complication in a hemodialysis patient. A case presentation Medisur hematoma lengua diálisis renal insuficiencia renal crónica |
title | Lingual hematoma, rare complication in a hemodialysis patient. A case presentation |
title_full | Lingual hematoma, rare complication in a hemodialysis patient. A case presentation |
title_fullStr | Lingual hematoma, rare complication in a hemodialysis patient. A case presentation |
title_full_unstemmed | Lingual hematoma, rare complication in a hemodialysis patient. A case presentation |
title_short | Lingual hematoma, rare complication in a hemodialysis patient. A case presentation |
title_sort | lingual hematoma rare complication in a hemodialysis patient a case presentation |
topic | hematoma lengua diálisis renal insuficiencia renal crónica |
url | http://medisur.sld.cu/index.php/medisur/article/view/45203 |
work_keys_str_mv | AT yulielvaronarodriguez lingualhematomararecomplicationinahemodialysispatientacasepresentation |