Evidence map›Paper›PMID 40453154›Full record

ArticleIranian journal of otorhinolaryngology2025

Obstructive Pharyngo-Laryngeal Hematoma Complicating Oral Anticoagulation: Case Report.

Maissa Lajhouri, Houda Chahed, Rania Laajailia, Rihab Lahmer, Azza Mediouni, Najeh Beltaief

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Iranian journal of otorhinolaryngology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Maissa LajhouriDepartment of Otorhinoloaryngology Head and Neck Surgery, La Rabta Hospital, Tunisia.
Houda ChahedDepartment of Otorhinoloaryngology Head and Neck Surgery, La Rabta Hospital, Tunisia.
Rania LaajailiaDepartment of Otorhinoloaryngology Head and Neck Surgery, La Rabta Hospital, Tunisia.
Rihab LahmerDepartment of Otorhinoloaryngology Head and Neck Surgery, La Rabta Hospital, Tunisia.
Azza MediouniDepartment of Otorhinoloaryngology Head and Neck Surgery, La Rabta Hospital, Tunisia.
Najeh BeltaiefDepartment of Otorhinoloaryngology Head and Neck Surgery, La Rabta Hospital, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Spontaneous pharyngo-laryngeal hematoma in patients receiving oral anticoagulants is rare and potentially fatal because of upper airway obstruction. Many risk factors can cause potential hemorrhagic complications, such as drug interactions. Case Report: We present the case of a 74-year-old man who was on oral anticoagulation by acenocoumarol and presented with acute laryngeal dyspnea. The final diagnosis of pharyngo-laryngeal hematoma secondary to hypercoagulation was made based on the clinical, biological, and radiological features. Therefore, conservative management was initiated. Drug interactions between anticoagulants and macrolides were the probable underlying causes of excessive anticoagulation. Conclusion: Pharyngo-laryngeal hematoma should be considered in patients receiving anticoagulant therapy with symptoms of upper airway obstruction. Drug interactions may be the underlying cause of hypercoagulation, so medications should be carefully prescribed to these patients.

Indexed as

AcenocoumarolAirway obstructionDrug interactionDyspnea

Identifiers

PMID40453154
PMCPMC12126199

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