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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Main Author: Yuliel Varona Rodríguez
Format: Article
Language:Spanish
Published: Centro Provincial de Información de Ciencias Médicas. Cienfuegos 2024-07-01
Series:Medisur
Subjects:
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.
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institution Kabale University
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publisher Centro Provincial de Información de Ciencias Médicas. Cienfuegos
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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