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Anaesthesia mumps after laparoscopic right hemicolectomy under general anaesthesia: A case report
Yu-Hong Liu1, Ta-Wei Pu2, Hsing-Wei Yu1
1Department 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.
Introduction:
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.
Presentation Of Case:
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.
Discussion:
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.
Conclusion:
Early awareness of anaesthesia mumps and close evaluation lead to a fair prognosis for scar presentation.
Insights
Anaesthesia mumps, a rare complication after general anesthesia, presents as parotid or submandibular gland swelling. Early recognition and management of this postoperative condition ensure a good prognosis.
Area of Science:
- Anesthesiology
- Surgical Complications
- Otology
Background:
- Anaesthesia mumps is an infrequent postoperative complication following general anesthesia.
- It can occur after diverse surgical interventions, including colorectal procedures.
Observation:
- A case of anesthesia mumps in a 93-year-old male post-laparoscopic hemicolectomy.
- Presentation included unilateral parotid gland swelling, preauricular and submandibular swelling, and buccal mucosa swelling.
- Imaging confirmed parotid gland inflammation and soft tissue swelling.
Findings:
- Amylase levels were normal, ruling out typical causes of salivary gland swelling.
- Symptoms resolved within 3 days with conservative management.
- Anaesthesia mumps is associated with various surgeries and generally has a good outcome.
Implications:
- Highlights the importance of considering anesthesia mumps in postoperative patients with salivary gland swelling.
- Prompt diagnosis and conservative treatment lead to favorable outcomes.
- Contributes to understanding the clinical spectrum and management of this rare complication.
