Unraveling Anesthesia Mumps A Rare Postoperative Complication After Spinal Anesthesia

Introduction

In the realm of anesthesiology, even the rarest complications warrant attentionespecially when they emerge in unexpected scenarios. One such uncommon condition, anesthesia mumps, recently presented in a young patient following spinal anesthesia for a cesarean section. This case highlights the need for clinical vigilance and swift intervention.
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A Rare Complication After Cesarean Section

A 25-year-old woman, with a previous cesarean history, was admitted for another C-section at 38 weeks and 8 days of gestation. Her vital signs were stable, with no notable medical or surgical history. Spinal anesthesia was administered smoothly using Marcaine 0.5% at the L3-L4 level. The delivery proceeded without complications, resulting in a healthy newborn.

However, nine hours postoperatively, bilateral, painless parotid gland swelling was observed classic signs of anesthesia mumps.

• No signs of infection or inflammation
• No purulent discharge
• Normal laboratory values

Clinical Management and Recovery

Prompt and conservative management ensured a favorable outcome:

• Hydration with IV normal saline
• Single dose of IV hydrocortisone (100 mg)
• Regular monitoring for swallowing difficulties or discharge

Remarkably, the swelling reduced by 90% within 24 hours and resolved completely by day two. The patient was discharged in good condition with her newborn.

Understanding Anesthesia Mumps: Causes and Implications

Although benign and self-limiting, anesthesia mumps can be alarming if misdiagnosed. The condition involves temporary, non-infective swelling of the parotid glands and can result from various perioperative factors:

• Head positioning during surgery
• Dehydration
• Use of medications like atropine or succinylcholine
• Retrograde air insufflation through Stensen’s duct

The American Society of Anesthesiologists (ASA) stresses the importance of monitoring rare postoperative complications to avoid unnecessary diagnostic delays and ensure patient safety.

Takeaways for Clinical Practice

• Maintain awareness of postoperative sialadenitis even after spinal anesthesia
• Early diagnosis and supportive care are key to fast recovery
• Patient reassurance is essential due to the visual nature of the swelling

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