Rapidly-Enlarged and Ruptured Submucous Hematoma of Soft and Hard Palate during Anticoagulation Therapy with Warfarin: A Case Report

DOI Web Site 5 References
  • MOMOTA Yukihiro
    Department of Oral Medicine, Institute of Health Biosciences, the University of Tokushima Graduate Faculty of Dentistry
  • MOTEGI Katsumi
    Department of Oral Medicine, Institute of Health Biosciences, the University of Tokushima Graduate Faculty of Dentistry
  • AOTA Keiko
    Department of Oral Medicine, Institute of Health Biosciences, the University of Tokushima Graduate Faculty of Dentistry
  • TAKANO Hideyuki
    Department of Oral Medicine, Institute of Health Biosciences, the University of Tokushima Graduate Faculty of Dentistry
  • KANI Koichi
    Department of Oral Medicine, Institute of Health Biosciences, the University of Tokushima Graduate Faculty of Dentistry
  • AZUMA Masayuki
    Department of Oral Medicine, Institute of Health Biosciences, the University of Tokushima Graduate Faculty of Dentistry

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Other Title
  • ワルファリン療法中に急速に増大・破裂した軟硬口蓋粘膜下血腫の1例
  • 症例報告 ワルファリン療法中に急速に増大・破裂した軟硬口蓋粘膜下血腫の1例
  • ショウレイ ホウコク ワルファリン リョウホウ チュウ ニ キュウソク ニ ゾウダイ ・ ハレツ シタ ナンコウコウガイ ネンマク カケッシュ ノ 1レイ

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We present a case of rapidly-enlarged and ruptured submucous hematoma of soft and hard palate during warfarin therapy.<br>The Patient was a 76-year old man. He suddenly had palatal swelling and difficulty in breathing while eating, and was brought to us by ambulance. He has been receiving warfarin therapy and treatments for paroxysmal atrial fibrillation, diabetes mellitus and high blood pressure. On blood examination normocytic anemia was diagnosed. Blood coagulation test demonstrated an elevated value (1.52) of PT-INR. The mucous membrane was exfoliated from both soft and hard palate without abnormalities in either respiratory or circulatory status. Immediately, suturing of the mucosa to the submucosal tissue was performed along with astriction. <br>Emphasis should be on soft and hard palatine submucous hematoma as an oral bleeding complication associated with warfarin therapy.

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