2002, Number 2
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ABSTRACTObjective: To describe a case report of postanesthetic parotitis and literature revision. Setting: Intensive care unit of a tertiary-level hospital. Case Report: Sixty-six-year-old male, hypertensive, with extensive parenchymal hemorrhage at left basal nuclei surgically resolved. Anesthetic management was effected with ethomidate, vecuronium, fentanyl, and sevoflurane. Four h after surgery, the patient developed an enlargement of the left parotid gland and hyperamylasemia. Computed axial tomography (CAT) revealed enlargement of the left parotid gland without affection of adjacent tissue. Bacterial cultures and viral panel were negative. Diagnosis of postanesthetic parotitis was established and the patient treated with antiinflammatory drugs and early extubation, showing clinical and laboratory relief 72 later. Postanesthetic parotitis is a self limited and low-frequency entity associated to anesthetic and endoscopic procedures. It is secondary to glandular edema and saliva retention.
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