Recurrent Pneumoparotid Presenting as Parotitis in a 3-Year-Old Child

Pneumoparotid is a rare cause of parotid swelling. It is characterized by the presence of air in the parotid ductal system. Pneumoparotid may be suggested clinically with crepitus on parotid gland palpation. Imaging using ultrasound and/or CT is crucial in diagnosing Pneumoparotid and for excluding complications. Early recognition of pneumoparotid is crucial to prevent recurrence and unnecessary interventions. Counseling to avoid activities that increase intra-oral pressure remains the cornerstone of management. We report a case of a 3-year-old male - one of the youngest described in the literature- who presented with a 3-day history of high-grade fever, right-sided neck swelling, and decreased oral intake. Examination revealed bilateral parotid swelling with crepitus. Ultrasound revealed bilateral parotid enlargement and multiple enlarged cervical lymph nodes with early cystic degeneration. Contrast-enhanced CT confirmed the presence of air within both parotid glands, which is consistent with pneumoparotid.