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Case | Year | Age | Sex | Symptoms | Surgical procedure | Type of anesthesia | Anesthetic medication | Respiratory distress | Treatment | Complications |
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1 (11) | 2009 | 89 | F | Bilateral painless submandibular gland enlargement | Right partial hip arthroplasty | Combined spinal–epidural anesthesia | 15 mg of 0.5% heavy bupivacaine | No | Supportive | Full recovery (5 days) |
2 (10) | 2013 | 37 | F | Painless bilateral parotid swelling | Breast surgery and abdominoplasty | Thoracic block between T2 and T3 intervertebral spaces, and lumbar epidural block between L1 and L2 | 13 mL of 0.5% bupivacaine and 50 lg of fentanyl | No | Supportive (IV fluid hydration) | Full recovery (12 hours) |
3 (10) | 2013 | 45 | F | Painless bilateral parotid swelling | Subglandular breast implantation, and body contouring(liposuction) | Thoracic block between T4 and T5 intervertebral spaces, and lumbar epidural block between L1 and L2 | 10 mL of 0.5% Marcaine and 100 lg of fentanyl | No | Supportive (IV fluid hydration) | Full recovery (36 hours) |
4 (10) | 2013 | 30 | F | Painless bilateral parotid swelling | Subglandular breast implantation, and liposuction | Thoracic block between T5 and T6 intervertebral spaces, and lumbar epidural block between L1 and L2 | 10 mL of 1% lidocaine and 100 lg of fentanyl | No | Dexamethasone injection, and IV fluid hydration | Full recovery (48 hours) |
5 (12) | 2017 | 38 | F | Mild respiratory distress, and bilateral enlarged parotid gland | Elective cesarean section | Spinal anesthesia | Not mentioned | Yes | Antihistamines, and anti-inflammatory agents, supportive therapy | Full recovery (10 hours) |
6 (13) | 2021 | 31 | F | Painless swelling in both parotid glands | Elective cesarean section | Spinal anesthesia between L3-L4 intervertebral spaces | 12 mg bupivacaine, 100 mcg morphine, and 10 mcg fentanyl | No | Intravenous injection of 45.5 mg pheniramine maleate, 20 mg tenoxicam, IV fluid hydration | Full recovery (9 hours) |
7[our case] | 2021 | 30 | F | Painless bilateral parotid swelling | Elective cesarean section | Spinal anesthesia between L3-L4 intervertebral spaces | 8 mL of Marcaine 0.5%, and 10 micrograms of fentanyl | No | Intravenous injection of 100 mg IV hydrocortisone, IV fluid hydration | Full recovery (24 hours) |
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