title: Salivoma after carotid endarterectomy.
abstract: Although the diagnosis and management of postoperative or traumatic fluid collections have been documented extensively in the literature, to our knowledge the occurrence of a salivoma after carotid endarterectomy has not been reported. We report an extra salivary glandular collection of saliva - a "salivoma" - in a 79-year-old patient who underwent a carotid endarterectomy with a high carotid bifurcation. He presented with serous watery drainage from the incision site that had started spontaneously 4 days after surgery. The patient was taken to the operating room for exploration and washout of the wound with presumption of an infectious source. As self-retaining retractors were placed under the platysma, a large release of serous fluid occurred. Copious irrigation allowed complete washout of the wound. On postoperative day 2, the patient re-exhibited neck wound fullness and a Penrose drain was placed in the incision with clear serous fluid flowing through the drain. The patient was given a scopolamine patch to decrease salivary secretions. Within 5 days, the drainage significantly decreased and the drain was removed. This diagnosis should be included in the differential diagnosis of an expanding neck mass following carotid endarterectomy to properly treat this complication.
authors.affiliation: New Jersey Neuroscience Institute, Department of Neurosurgery, JFK Medical Center, Seton Hall University, Edison, NJ, USA.
authors.forename: Asif
authors.initials: A
authors.lastname: Bashir
authors.affiliation: New Jersey Neuroscience Institute, Department of Neurosurgery, JFK Medical Center, Seton Hall University, Edison, NJ, USA.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Hussain
authors.affiliation: New Jersey Neuroscience Institute, Department of Neurosurgery, JFK Medical Center, Seton Hall University, Edison, NJ, USA.
authors.forename: Haitham
authors.initials: H
authors.lastname: Dababneh
authors.affiliation: Department of ENT, JFK Medical Center, Edison, NJ, USA.
authors.forename: Deborah
authors.initials: D
authors.lastname: Rosin
authors.affiliation: Goodman-Campbell Brain and Spine, Department of Neurological Surgery, Indiana University School of Medicine, 355 W. 16th Street, Suite 5100, Indianapolis, IN 46202, USA. Electronic address: acohenmd@gmail.com.
authors.forename: Aaron A
authors.initials: AA
authors.lastname: Cohen-Gadol
mesh_terms: D000368:Aged; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology*; D012469:Salivary Glands / Q000473:pathology*
keywords: Complications; Endarterectomy; Salivary glands; Salivoma