Zehra KURDOĞLU, Uğur GÖKTAŞ, Serhat AVCU, O. Çağatay AYTEKİN, İsmail KATI

Anesthesia mumps after the cesarean section in pregnant woman

Genel anesteziye bağlı parotis bezinin akut geçici şişmesi ile karakterizedir. Biz , 25 yaşında hamile bir bayanda, sezaryen ameliyatından 24 saat sonra gelişen anestezi kabakulağının tedavisi ve ayırıcı tanısı irdeleyeceğiz. 25 yaşında kadın sezaryen operasyonuna alındı. Anamnezinde kronik bir hastalık ve alerji öyküsü yoktu. Zihinsel ve psikolojik durumu, nörolojik ve diğer sistem muayene bulguları ve laboratuar değerleri normaldi. Genel anestezi uygulandı. Ekstübasyondan yirmi dört saat sonra sağ parotis bölgede sola göre daha büyük olmak üzere mandibular açının aşağına doğru genişleyen şişlik mevcuttu. Sonuç olarak, özellikle obstetrik olgularda nazikçe entübasyon ve ekstübasyon yapılmalı ve kullanılan ilaçlara dikkat edilmesi gerektiği kanaatindeyiz. İlave olarak Anestezi kabakulağı tedavi ile veya tedavisiz birkaç gün içerisinde iyileşebilir.

Hamile bayanda sezeryan sonrası gelişen anestezi kabakulağı

Anesthesia mumps is characterized by acute transient swelling of the parotid gland association with general anesthesia. We presented a 25 years old pregnant woman with anesthesia mumps after 24 hours Cesarean section, and discussed treatment of anesthesia mumps and differential diagnosis. 25 years old woman underwent to operation for Cesarean section. Her Medical history had no chronic disease, and no allergies. Her mental and psychological status, neurological, other systematical examination findings and laboratory values were normal. General anesthesia was administered. Twenty four hours after the extubation, a large swelling of right more than left parotid region expanding down to the mandibular angle was noted. In conclusion we suggest that especialy obstetrical cases should be performed gently intubation and extubation and used medications should be attention. In additioal, anesthesia mumps of patients may fully recover within a few days without any treatment or with treatment.

PDF

___

1. Yang WC, Kang SJ, Choi WS, Shin IW, Kim HB, Lee HK, Chung YK. Transient swelling of both parotid glands following general anesthesia. Korean J Anesthesiol 2000; 39:296–99.
2. Mutaf M, Büyükgüral B. An unusual postoperative complication: anesthesia mumps. Eur J Plast Surg 2007; 29:335–8.
3. Attas M, Sabawala PB, Keats AS. Acute transient sialoadenopathy during induction of anesthesia. Anesthesiology 1968; 29:1050–2
4. Matsuki A, Wakayama S, Oyama T. Acute transient swelling of the salivary glands during and following endotracheal anaesthesia. Anaesthesist 1975; 24:125–8
5. Kiran S, Lamba A, Chhabra B: Acute pansialadenopathy during induction of anesthesia causing airway obstruction. Anesth Analg 1997;85:1052–3.
6. Rice DH. Saliva gland physiology. Otolaryngol Clin North Am 1977;10:273–85.
7. Shields HM, Soloway RD, Long WB et al. Bilateral recurrent parotid swelling after endoscopy. Gastroenterology 1977; 73:164–5.
8. Slaughter RL. Parotid gland swelling developing during peroral endoscopy. Gastrointest Endosc 1975;22:38–9.
9. Wakayama S. Salivary gland swelling developing during and immediately after general anesthesia. Anesthesiology 1968;22:14–7.
10. Brodie HA, Chole RA. Recurrent pneumosialadenitis: a case presentation and new surgical intervention. Otolaryngol Head Neck Surg 1988;98:350–3.
11. Calcaterra TC, Lowe J. Pneumoparotitis. Acta Otolaryngol 1965; 52:784–9.
12. Hemenway WG, English GM. Surgical treatment of acute bacterial parotitis. Postgrad Med 1971; 50:114–9.
13. Liu FC, Liou JT, Li AH, Chiou Hung Jr. Day YJi. Chang Acute Unilateral Parotid Glands Enlargement Following Endotracheal General Anesthesia: Report of Two Cases Gung Med J 2007;30:453-7.