Özet:

Retropharengeal hematoma (RH), whiplash head trauma and antikoagulant-based coagulopathin (ACC) are a rare but potentially serious complication. In literature, there are doubts about the decision on the surgical drainage of the hematom and there are too many data. In this article, two separate facts are presented to the emergency service with different etiology and symptoms. The first phenomenon was the spontaneous RH that developed in a patient who used varpharin sodium for a long time due to heart disease and who was unable to adjust the dose of the drug, and the second phenomenon was an isolated hematom after a minor head trauma in a child. The first patient needed an urgent tracheotomy, while the second patient received conservative treatment. Treatment in the retrophary hematome may vary depending on the etiology and severity of symptoms. When the signs of airway blockage appear, the airway must be taken to safety immediately before the full blockage occurs. When an anticoagulate patient shows symptoms of the upper respiratory tract, the RH diagnosis should be considered.Anticoagulation, pediatric trauma, retrophary hematom, tracheotomy, whiplash.