Parotitis After Endoscopic Retrograde Cholangiopancreatography

Area of Science:

• Gastroenterology and Hepatology
• Surgical Complications
• Medical Case Reports

Background:

• Orthotopic liver transplantation (OLT) is a critical treatment for end-stage liver disease.
• Post-OLT complications, including bile leak and anastomotic stricture, are frequently managed endoscopically.
• Endoscopic retrograde cholangiopancreatography (ERCP) is a primary intervention for these biliary complications.

Observation:

• This case report describes an exceptionally rare instance of acute parotitis.
• Acute parotitis occurred as a postoperative complication following ERCP.
• The patient presented with symptoms of parotitis after undergoing ERCP for OLT-related biliary issues.

Findings:

• Acute parotitis is an extremely uncommon adverse event after ERCP.
• The precise etiology of post-ERCP acute parotitis remains unclear.
• The report discusses potential mechanistic risk factors contributing to this rare complication.

Implications:

• This case highlights the need for increased awareness of rare ERCP-associated complications.
• Understanding the risk factors may guide preventative strategies for acute parotitis post-ERCP.
• Further investigation is warranted to elucidate the pathophysiology and optimize management of this unusual complication.