Acute Unilateral Swelling of Parotid Gland After General Anesthesia: Anesthesia Mumps

Rare complication of acute transient parotitis after arthroscopic rotator cuff repair: a case report

Acute postoperative parotitis, also known as anesthesia mumps, involves transient inflammation and enlargement of the parotid gland after general anesthesia. No case reports of acute postoperative parotitis after arthroscopic shoulder surgery have been reported to date. Therefore, we share our experience with a recent case of acute postoperative parotitis as a rare complication of arthroscopic rotator cuff repair in lateral decubitus position. Symptoms can be unilateral or bilateral, painless, and often resolve spontaneously within hours or days; in rare cases, such as upper airway obstruction, the condition can be fatal. Treatment options for parotitis vary from conservative to surgical depending on severity, and outcomes also vary. Therefore, orthopedic surgeons should be aware that this rare complication can occur after surgery, and patients should be warned before surgery.

Acute Transient Sialadenitis After a Laparoscopic Cholecystectomy

Transient acute sialadenitis after anesthesia, also known as "anesthesia mumps," is a rare phenomenon reported after surgery, typically associated with extensive surgeries. It is a complication that is usually self-resolving but, in rare cases, may lead to airway obstruction. The most common associated causes include dehydration, components of anesthesia, duct obstruction due to positioning, and external compression, among others. Here, we present the case of bilateral parotitis after an elective laparoscopic cholecystectomy in a 76-year-old male.

Anesthesia mumps with airway obstruction after radical nephrectomy: A case report and literature review

Anesthesia mumps have rarely been reported. This article presents the diagnosis and treatment of a case of anesthesia mumps with airway obstruction in the urology department and reviews previous cases of the disease. A 58-year-old man had a history of hypertension and diabetes, and his blood pressure and glucose levels were well controlled. He underwent laparoscopic radical nephrectomy for a right renal tumor. Postoperatively, a swelling of approximately 5 × 4 cm was observed in the left parotid region and left eyelid, no palpable crepitation was detected, and the skin overlying the left parotid gland was mildly hyperemic and tender. Enhanced computed tomography of the head and neck revealed obvious swelling of the laryngopharyngeal airway, and electronic laryngoscopy showed narrow airway. Laboratory test results including white blood cell count, C-reactive protein, serum amylase, and lipase levels were normal. Glycosylated hemoglobin level was 6.8%, and the salivary culture from Stensen's duct was negative. The patient was managed with endotracheal intubation and a ventilator to maintain breathing along with anti-infection, expectorant, and symptomatic treatment. The swelling in the left parotid gland gradually resolved without recurrence, and the patient was extubated on the 7th postoperative day. In this case, the pathophysiology of anesthesia mumps may have been related to the incorrect positioning of the thick short neck and the use of a head ring, which can result in the squeezing of vessels. In most cases, the salivary gland swelling resolves with observation and symptomatic treatment. In patients with anesthesia mumps, emergency airway management and careful observation are necessary if upper airway obstruction occurs. This case report should increase awareness of anesthesia mumps and its complications among anesthesiologists, surgeons, and postoperative caregivers.