RESUMO
Acute postoperative transient sialadenitis, also known as anesthesia mumps, is a rare condition that is transient, usually benign, and self-limiting in nature involving unilateral or bilateral parotid glands. The exact mechanism and etiology have not been fully explained, but the causative factors may include, pneumoparotitis, venous congestion, excess saliva secretion, surgical position, perioperative dehydration, and perioperative use of drugs such as atropine, succinylcholine, morphine, ephedrine, and propofol. We report a case of a 31-year-old pregnant lady who was admitted for elective cesarean section under spinal anesthesia. She developed facial swelling involving the parotid area bilaterally five hours postoperatively. Dexamethasone was given intravenously with intravenous (IV) fluids and paracetamol. The swelling improved gradually and resolved completely after 48 hours. This is a case of anesthesia mumps, one of the rare cases that may develop after anesthesia. Awareness, early recognition and supportive management by rehydration and corticosteroids are essential for the patient's reassurance, smooth regression, and recovery, and to avoid extremely rare situations as this condition can progress into airway obstruction.
RESUMO
A 65-year-old man with a 2-month history of left-sided neck swelling presented through the cancer pathway. There was no associated 'red flag' symptoms, and clinical examination revealed a left anterior triangle, non-pulsatile firm swelling atypical of a lymph node. Ultrasound scan imaging confirmed a complex structure with an echogenic centre and hypoechoic periphery, which was confirmed on CT as an osteoma of the hyoid.This is an extremely unusual cause of a neck lump, and an extensive literature review revealed only two previously documented cases.
