E-ISSN 2667-8721

Spontaneous Uvula Hematoma


Uvula hematoma is more commonly seen as a complication of thrombolytics and streptokinase use or after trauma. Although spontaneous uvula hematoma is rare in the literature, we aim to present a rare spontaneous uvula hematoma in our case. A 26-year-old woman was admitted to the emergency service with a feeling of sticking in her throat and difficulty in swallowing. In her physical examination, the uvula was ecchymotic and edematous. She stated that she does not use any antiplatelet and anticoagulant agents. Other system examinations were normal. In some studies, uvula hematoma have been reported after endotracheal intubation and use of antiplatellet. However, uvula hematoma was spontaneously formed in the patient who applied to us. As with all emergency cases, hemodynamic stability and airway patency should be maintained in the first intervention in such airway hematomas. After maintaining the airway, anticoagulation therapy or hematoma drainage, if necessary, constitute the second step of hematoma treatment. The upper aerodigestive system should be checked for bleeding after trauma, endoscopy and intubation, especially in patients with anticoagulant therapy and in patients with systemic bleeding disease.

Keywords: Spontaneous, uvula hematoma, emergency medicine

Eurasian J Critical Care 2019; 1 (4):139-140
Case Report