title: Imaging findings of "anesthesia mumps" (acute postoperative sialadenitis) after general anesthesia.
abstract: We present a rare case of acute postoperative sialadenitis or "anesthesia mumps" necessitating emergent intubation in a 16-year-old girl after biopsy of a brainstem mass under general anesthesia. Postoperative computed tomography of the brain demonstrated extensive right-sided facial swelling, parotid gland enlargement, and pharyngeal edema extending to the parapharyngeal space, soft palate, and uvula with significant narrowing of the airway. To our knowledge, this entity has not been previously described in the radiologic literature.
authors.affiliation: Department of Radiology, Boston Medical Center, Boston University School of Medicine, Boston, MA 02118, USA. marie.quinn@bmc.org
authors.forename: Marie E
authors.initials: ME
authors.lastname: Quinn
authors.forename: Timothy D M
authors.initials: TD
authors.lastname: Quinn
authors.forename: Asim Z
authors.initials: AZ
authors.lastname: Mian
authors.forename: Osamu
authors.initials: O
authors.lastname: Sakai
mesh_terms: D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000768:Anesthesia, General; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003287:Contrast Media; D003399:Craniotomy; D004487:Edema / Q000150:complications; D005145:Face / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods; D010306:Parotid Gland / Q000000981:diagnostic imaging; D010614:Pharynx / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000628:therapy; D011856:Radiographic Image Enhancement / Q000379:methods; D012793:Sialadenitis / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D012796:Sialography / Q000379:methods; D013363:Submandibular Gland / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed / Q000379:methods*
chemical_list: D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents; D003287:Contrast Media