Sublingual haematoma as a result of dysregulated peroral anticoagulant therapy

We describe a case of spontaneous sublingual haematoma secondary to warfarin toxicity, leading to impending airway obstruction. The case was handled with the administration of vitamin K and fresh frozen plasma, and without invasive airway handling. Furthermore, we discuss the presentation of the condition and the signs of impending airway obstruction. Preferred management includes a safe airway and reversion of coagulopathy. The prognosis is good when treatment is prompt and correct.