A spontaneous retropharyngeal haematoma: a suspected side-effect of indomethacin
| Autor: | W Hellier, J Kirkby-Bott, S Goldie, E Crossley |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Neck pain Hematoma Platelet aggregation Side effect Haematology department business.industry Ecchymosis Indomethacin Parathyroid hormone General Medicine Pharyngeal Diseases medicine.disease Surgery Airway Compromise Otorhinolaryngology Medical Illustration medicine Humans Female medicine.symptom business Parathyroid adenoma Aged |
| Zdroj: | The Journal of laryngology and otology. 135(11) |
| ISSN: | 1748-5460 0022-2151 |
| Popis: | BackgroundRetropharyngeal haematomas are most commonly associated with trauma and anti-coagulant use. This paper describes the first reported case of a spontaneous retropharyngeal haematoma suspected to be due to indomethacin use.Case reportIt is proposed that the combination of indomethacin affecting platelet aggregation, alongside the patient coughing, may have led to this retropharyngeal haematoma.ConclusionThe complexities of management are discussed and the current literature reviewed. In the absence of airway compromise or a rapidly enlarging haematoma, patients can be managed conservatively with observation and close discussion with the haematology department. Follow-up imaging is not necessary if the patient's symptoms settle; however, any increase in parathyroid hormone levels must be investigated to exclude a parathyroid adenoma. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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