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Surgical drainage of spontaneous sublingual haematoma
  1. Amanda Hamilton and
  2. Christian Beardsley
  1. General Surgery, Mackay Base Hospital, Mackay, Queensland, Australia
  1. Correspondence to Dr Amanda Hamilton; amanda.hamilton2{at}


This is a case presentation of a man in his late 80s who presented to emergency department with a sublingual haematoma secondary to warfarin usage for atrial fibrillation. His international normalised ratio was rapidly reversed, and he was taken to theatre for successful surgical drainage of the haematoma. He was kept intubated and ventilated for 48 hours postoperatively to allow swelling to settle then extubated and rehabilitated prior to discharge home.

  • General surgery
  • Head and neck surgery
  • Oral and maxillofacial surgery
  • Otolaryngology / ENT
  • Anaesthesia

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  • Contributors This case report was written by AH, in conjunction with CB, General Surgeon at Mackay Base Hospital as supervisor of the report. The recognition of surgical drainage of the haematoma as a case for discussion due to lack of knowledge and guidelines for management was contributed by CB. After an in-depth discussion with the patient regarding publication the topic was researched, and the report written by AH.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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