A Case of Bilateral Anesthesia Mumps after Cesarean Section under Spinal Anesthesia: A Rare Case and Literature Review

Abstract

A 30-year-old pregnant female presented to the emergency department with labor pain in her 39th week of pregnancy. Cesarean section under spinal anesthesia was the chosen route of delivery for this patient due to previous cesarean section in her first pregnancy. The delivery itself was uneventful but seven hours after the surgery, bilateral swelling of parotid glands were noted. Rehydration therapy and a single dose of hydrocortisone (100 mg IV route) were administered, and swellings were completely resolved on postoperative day 2. This is one of the rare cases of anesthesia mumps after spinal anesthesia, and we think rehydration therapy and the single dose corticosteroid may prove useful in these cases.

Acute Post-operative Transient Sialadenitis "Anesthesia Mumps" After Caesarean Section Under Spinal Anesthesia: A Case Report

“…Anesthesia mumps is generally a self-limiting disease with a benign course that usually subsides within hours to a few days. The definitive treatment for this condition is still to be found, but administering intravenous fluids, corticosteroids, and anti-inflammatory medications can improve the symptoms [ 6 ]. Our patient received intravenous fluids and three doses of 8mg intravenous dexamethasone, and her condition started to improve within less than 24 hours and had completely resolved after 48 hours.…”

“…Here, we report a case of bilateral parotid swelling post-cesarean section under spinal anesthesia in a young female patient. Anesthesia mumps is usually reported after general anesthesia, and this is one of the few cases that occurred following spinal anesthesia [ 6 ]. There is a limited number of publications about anesthesia mumps after spinal anesthesia [ 2 ].…”