[Two cases of anesthesia mumps in the upper parotid gland after general anesthesia in the lateral position].
We describe two cases of acute transient swelling of the upper side of parotid glands of the patients after general anesthesia in the lateral position. The serum amylase levels in the patients were not increased and the enlargement of the parotid gland was diagnosed as anesthesia mumps. Previous reports suggested that mechanical compression might produce the swelling of the secreting organ, but our patients showed temporal parotid enlargement in the upper free side. Although, pre-medication with atropine might become a cause of parotid gland swelling, we anesthetized these patients without anti-cholinergic drugs. Procedures of oro-tracheal intubation and stimuli of endotracheal tube may induce impairment of the normal flow of saliva and lead to enlargement of the parotid gland.
Adachi
Yushi
Y
Intensive Care Unit of University Hospital, Hamamatsu University School of Medicine, Hamamatsu 431-3192.
Suzuki
Katsumi
K
Itagaki
Taiga
T
Obata
Yukako
Y
Doi
Matsuyuki
M
Sato
Shigehito
S
D000768:Anesthesia, General / Q000009:adverse effects*; D001285:Atropine / Q000009:adverse effects; D006801:Humans; D006984:Hypertrophy; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D010305:Parotid Diseases / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D010306:Parotid Gland / Q000473:pathology*; D011187:Posture / Q000502:physiology*
D001285:Atropine