Liu Yu-Hong, Pu Ta-Wei, Yu Hsing-Wei, Kang Jung-Cheng, Hsiao Cheng-Wen, Chen Chao-Yang
Department of Surgery, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, No.325, Sec. 2, Chenggong Rd., Neihu District, Taipei City 11490, Taiwan, Republic of China.
Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital, Songshan Branch, School of Medicine, National Defense Medical Center, No. 131, Jiankang Rd., Songshan District, Taipei City 10581, Taiwan, Republic of China.
Int J Surg Case Rep. 2021 Mar;80:105632. doi: 10.1016/j.ijscr.2021.02.018. Epub 2021 Feb 9.
Anaesthesia mumps is an extremely rare postoperative complication that occurs following various surgical procedures after general anaesthesia. We aimed to contribute to the growing knowledge of potential clinical presentations, outcomes, and possible causes.
A 93-year-old man experienced acute swelling of a unilateral parotid gland 1 day after laparoscopic right hemicolectomy under general anaesthesia. The symptoms he presented with were acute, non-tender swelling in the left preauricular and submandibular triangle with well-marginated, circular swelling of the buccal mucosa. Amylase level was within the normal range. Computed tomography showed left preauricular soft tissue swelling and enlargement and an enhanced left parotid gland exhibiting inflammation. The swelling subsided after 3 days of conservative treatment.
Anaesthesia mumps have been associated with a variety of surgeries, including colorectal surgery, and is a rare complication after the induction of general anaesthesia. Despite the few cases presenting with airway obstruction, the outcome for swelling of the parotid or submandibular gland is generally good.
Early awareness of anaesthesia mumps and close evaluation lead to a fair prognosis for scar presentation.