11/19. Impending asphyxia induced by anticoagulant therapy.A case is presented of spontaneous haemorrhage into the floor of the mouth occurring in a patient receiving anticoagulants. Spread of interstitial haematoma to the submucosal tissues of the pharynx and larynx caused respiratory embarrassment necessitating a tracheostomy. The genesis and management of such a problem are discussed, and it can be appreciated that close co-operation between the otolaryngologist, haematologist and anaesthetist is essential.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
12/19. disseminated intravascular coagulation presenting as perioral haemorrhage.A case of disseminated intravascular coagulation presenting with lower lip haemorrhage is described. The coagulopathy was secondary to an undiagnosed prostatic adenocarcinoma. The management of such haemorrhage is outlined.- - - - - - - - - - ranking = 6keywords = haemorrhage (Clic here for more details about this article) |
13/19. Persistent haemorrhage following dental extractions in patients with liver disease: two cautionary tales.Two cases are reported in which patients known to suffer from chronic liver disorders underwent local anaesthetic dental extractions. In both cases the procedure was followed by severe, intractable post-operative haemorrhage, resistant to local haemostatic measures and requiring hospital admission for intravenous fluid replacement and administration of clotting factors. The importance of not only eliciting details of a patient's medical history, but also of acting appropriately upon that information is emphasised and a recommendation is made that patients with active liver disorders, such as cirrhosis, who require oral surgery procedures should be managed in hospital departments, where access to haematological assessment and appropriate surgical and medical care is readily available. Close liaison with liver physicians and haematologists is recommended.- - - - - - - - - - ranking = 5keywords = haemorrhage (Clic here for more details about this article) |
14/19. urticaria haemorrhagica profunda.Substantial subcutaneous haemorrhage without preceding trauma or underlying bleeding disorder is a rare occurrence in dermatological practice, essentially restricted to early childhood (acute haemorrhagic oedema of childhood). We report an adolescent with a morphologically unique bleeding manifestation. A 16-year-old boy presented with two episodes of massive subcutaneous haemorrhage in association with urticarial vasculitis. There was no history of preceding trauma or haemorrhagic disorder. Haemorrhage was observed in areas typically affected by angioedema, such as the periorbital, perioral, lingual, sublingual and laryngeal areas. history revealed an atopic diathesis with hay fever and examination showed alopecia areata. An antinuclear antibody titre and the presence of lupus anticoagulant indicated transient antiphospholipid antibodies. As urticaria corresponds to urticaria profunda angioedema, we hypothesize a pathophysiological relationship between superficial urticarial vasculitis and the deep variant of urticarial vasculitic disease, leading to the unique morphology present in our patient.- - - - - - - - - - ranking = 2keywords = haemorrhage (Clic here for more details about this article) |
15/19. aspirin-induced post-gingivectomy haemorrhage: a timely reminder.A case report is described of significant aspirin-induced haemorrhage following a gingivectory procedure in an organ transplant patient. aspirin-induced platelet impairment secondary to low-dose aspirin was implicated as the cause of the haemorrhage. Haemostasis was eventually achieved after platelet transfusion. The case illustrates the problems that can arise when carrying out gingival surgery on patients medicated with low-dose aspirin.- - - - - - - - - - ranking = 6keywords = haemorrhage (Clic here for more details about this article) |
16/19. Acute idiopathic thrombocytopaenic purpura in childhood: report of a case presenting in general dental practice.Acute idiopathic thrombocytopaenic purpura is the most common of the thrombocytopaenias of childhood. Clinically it is associated with petechiae, mucocutaneous bleeding and occasionally haemorrhage into tissues. The oral mucosa is frequently involved. This paper describes a case presenting in general dental practice.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
17/19. Large arteriovenous high-flow mandibular, malformation with exsanguinating dental socket haemorrhage: a case report.arteriovenous malformations (AVMs) of the jaws are extremely rare lesions, which are probably hamartomas of developmental malformations. In this article we present an extremely high-flow AVM of the lower jaw with exsanguinating bleeding from the socket of the exfoliated tooth. Repeated episodic bleedings were controlled with local pressure and packing. Digital subtraction angiography revealed a high-flow, high-shunt AVM. Preoperative embolization and external carotid artery ligation, dental extraction, curettage and packing with Gelfoam were done. Postoperative bleeding stopped, bruit ceased, and it had disappeared completely after 6 months follow-up. On the second follow-up visit, 3 months later, the patient was found to have no problems.- - - - - - - - - - ranking = 4keywords = haemorrhage (Clic here for more details about this article) |
18/19. Transvenous embolisation of an arteriovenous malformation of the mandible via a femoral approach.arteriovenous malformations (AVM) of the mandible are uncommon but can give rise to sudden massive haemorrhage. Transarterial or direct transosseous embolisation can be used to treat this condition but is not always effective. We describe a case of mandibular AVM with a single draining vein which was embolised successfully via a femoral transvenous approach.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
19/19. The anaesthetic management of a case of Kawasaki's disease (mucocutaneous lymph node syndrome) and Beckwith-Weidemann syndrome presenting with a bleeding tongue.An unusual case of a 13-month-old child with Kawasaki's disease and the Beckwith-Weidemann syndrome is presented. The child, while anticoagulated with warfarin and aspirin to prevent extension of a coronary artery thrombus, fell and lacerated the tongue resulting in haemorrhage and significant swelling. The ongoing haemorrhage, combined with difficulty in securing venous access resulted in the child becoming shocked. Surgical intervention was required to stem the haemorrhage. The anaesthetic management of a shocked child with a coronary artery aneurysm and thrombosis, a potentially difficult airway and a full stomach is described.- - - - - - - - - - ranking = 3keywords = haemorrhage (Clic here for more details about this article) |
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