Salmi A and Ameur A
Bleeding complications classic oral anticoagulants are represented by gastrointestinal bleeding, genito urinary and intracranial. However, the hematoma of the language is exceptional. It is reported as spontaneous or induced by a tonguebite, tracheal intubation, but also can be promoted by fibrinolytic therapy. Its location, the hematoma may be responsible for respiratory distress by obstruction of the upper airways, meriting special attention to ensure timely management. We describe the occurrence of language hematoma following an overdose of oral anticoagulants, such acenocoumarol (Sintrom®), favored by a small lingual injury in a 71 years old patient admitted for respiratory distress by obstruction of the upper airways, whose evolution was favorable.