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An acute onset of giant laryngeal hematoma is rare and lifethreatening condition. It occurs usually in patients with coagulo pathies, often in those receiving warfarin. Various sites of bleeding have been reported in the literature, most commonly being the gastrointestinal tract, genitourinary tract and central nervous system. A large acute onset spontaneous hematoma is rarely reported in larynx. We report a case of an unusually large hematoma compromising the glottic airway in an over warfarinised patient. We highlight the need for a thorough evaluation of upper aerodigestive tract in patients on anticoagulant therapy. Detailed airway evaluation and monitoring with flexible laryngoscopy, and timely needful intervention are essential in above type of patients for preventing life-threatening consequences.

An Unusually Giant Hematoma threatening to the Laryngeal Airway