Abstract
We present a case of rapidly-enlarged and ruptured submucous hematoma of soft and hard palate during warfarin therapy.
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.
Emphasis should be on soft and hard palatine submucous hematoma as an oral bleeding complication associated with warfarin therapy.
