Carrillo-Esper R, Salinas-Ruiz S, González-Salazar JA, Hernández-Rayón A, Cruz-Suárez MA, González V

Language: Spanish
References: 11
Page: 102-104
PDF size: 157.50 Kb.

ABSTRACT

Objective: 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.

REFERENCES

1. Attas M, Sabawala PB, Jeats AS. Acute transient sialadenopathy during induction of anesthesia. Anesthesiology 1968; 29:1050-1052.

2. Carrillo ER, Rodríguez MF. Crecimiento benigno de la glándula parótida, relacionado con procedimiento anestésico. Anest Mex 1996;4:221-223.

3. Blackford RW. Recurrent swelling of the parotid and submaxillary glands following bronchoscopy. Ann Otol Rhinol Laryngol 1944;53:54-64.

4. Couper JL. Benign transient enlargement of the parotid glands associated with anaesthesia. S Afr Med J 1973;47:316-318.

5. Shields HM, Soloway RD, Long WB, et al. Bilateral recurrent parotid gland swelling after endoscopy. Gastroenterology 1977;73:164-165.

6. Slaughter RL, Boyce HW Jr. Submaxillary gland swelling developing during peroral endoscopy. Gastroenterology 1969;57:83-88.

7. Reilly DJ. Benign transient swelling of the parotid glands following general anesthesia: “anesthesia mumps”. Anesth Analg 1976;49:560-563.

8. Bonchek LI. Salivary gland enlargement during induction of anesthesia. JAMA 1969;209:1716-1718.

9. Gordon MJ. Transient submandibular swelling following esophagogastroduodenoscopy. Am J Dig Dis 1976;21:507-508.

10. Maynard JD. Recurrent parotid enlargement. Br J Surg 1965;52:784-789.

11. Kenningham J. An unusual case of postoperative facial swelling. Anaesthesia 2000;55:601-602.