POSTOPERATIVE ACUTE PAROTITIS FOLLOWING LSCS WITH REGIONAL ANAESTHESIA-A CASE REPORT

Abstract

Postoperative acute parotitis has been reported as a rare complication after caesarian section (CS) under neuraxial anaesthesia. The present case report presents a 31-year-old primigravida with a gestational age of 36 weeks who was admitted for an elective LSCS at a private hospital at Chennai, India. She was administered with 12-mg hyperbaric bupivacaine, 0.3 mg of Buprenorphine hydrochloride as spinal anesthesia and a single dose of 5 mg of ephedrine IV bolus to prevent spinal-induced hypotension. On Postoperative day-1, the subject noticed sudden onset of painless bilateral parotid gland swelling. She was managed with simple and effective measures like head elevation, proper hydration, cold packs and use of antiinflammatory drugs and this rare complication spontaneously regressed without any complication within 48 hours. The present case report contributes scientific evidence for presentation and management of rarely reported post operative complication bilateral acute parotitis.