A Case of Bilateral Anesthesia Mumps After General Anesthesia for Tibial Fracture Surgery

Abstract

Acute transient swelling of the parotid glands during or after surgery under general anesthesia was prescribed by previous colleagues. This complication is called anesthesia mumps. We present a case of bilateral parotid swelling noticed early in the intraoperative period. A 52-year-old male patient was scheduled for internal fixation of right tibial fracture under general anesthesia. The surgical procedure was uneventful and lasted for 2.5 hours. But 30 minutes after the beginning of surgery, swelling of both parotid regions was noted. In the recovery unit, the patient had moderate swelling of both parotids, expanding down to the mandibular angle with no complaint of pain, difficulty in swallowing, and dyspnea. Swelling decreased in size after five days and resolved in seven days. It is important to recognize anesthesia mumps as a rare complication that can appear during surgery or in the early postoperative period.