Despite the popularity of tongue piercing in recent years, the finding of a tongue abscess is considered extremely rare by international literature.The few available reports refer to a situation generally well documented objectively, posing problems of differential diagnosis for cancer, metastases, cysts, foreign bodies, ribavirin coupon intraparenchymal hemorrhage, macroglossia and edema of various origins.An acute enlargement of the tongue can be difficult to diagnose especially if there are no mucosal breaks or inflammation, and it may obstruct the chocolate chip cookie purse upper airway and be a clinical challenge.
Here we report a case observed in our emergency department which, at presentation, seemed suggestive for an angioedema.