Case Report

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

Table 2

Published cases of anesthesia mumps following spinal anesthesia in the English literature.

CaseYearAgeSexSymptomsSurgical procedureType of anesthesiaAnesthetic medicationRespiratory distressTreatmentComplications

1 (11)200989FBilateral painless submandibular gland enlargementRight partial hip arthroplastyCombined spinal–epidural anesthesia15 mg of 0.5% heavy bupivacaineNoSupportiveFull recovery (5 days)
2 (10)201337FPainless bilateral parotid swellingBreast surgery and abdominoplastyThoracic block between T2 and T3 intervertebral spaces, and lumbar epidural block between L1 and L213 mL of 0.5% bupivacaine and 50 lg of fentanylNoSupportive (IV fluid hydration)Full recovery (12 hours)
3 (10)201345FPainless bilateral parotid swellingSubglandular breast implantation, and body contouring(liposuction)Thoracic block between T4 and T5 intervertebral spaces, and lumbar epidural block between L1 and L210 mL of 0.5% Marcaine and 100 lg of fentanylNoSupportive (IV fluid hydration)Full recovery (36 hours)
4 (10)201330FPainless bilateral parotid swellingSubglandular breast implantation, and liposuctionThoracic block between T5 and T6 intervertebral spaces, and lumbar epidural block between L1 and L210 mL of 1% lidocaine and 100 lg of fentanylNoDexamethasone injection, and IV fluid hydrationFull recovery (48 hours)
5 (12)201738FMild respiratory distress, and bilateral enlarged parotid glandElective cesarean sectionSpinal anesthesiaNot mentionedYesAntihistamines, and anti-inflammatory agents, supportive therapyFull recovery (10 hours)
6 (13)202131FPainless swelling in both parotid glandsElective cesarean sectionSpinal anesthesia between L3-L4 intervertebral spaces12 mg bupivacaine, 100 mcg morphine, and 10 mcg fentanylNoIntravenous injection of 45.5 mg pheniramine maleate, 20 mg tenoxicam, IV fluid hydrationFull recovery (9 hours)
7[our case]202130FPainless bilateral parotid swellingElective cesarean sectionSpinal anesthesia between L3-L4 intervertebral spaces8 mL of Marcaine 0.5%, and 10 micrograms of fentanylNoIntravenous injection of 100 mg IV hydrocortisone, IV fluid hydrationFull recovery (24 hours)