Abstract
Bilateral parotid swelling after upper gastrointestinal procedures is a very rare occurrence. It is a self limiting transient event following anaesthesia [1], oesophagoduodenoscopy, and bronchoscopy [2]. The cause for this condition is not known due to rarity of the condition. The possible causes are retention of secretions causing blockage of the parotid ducts, dehydration, parasympathetic stimulation during oesophageal intubation, venous congestion due to excessive coughing and straining during procedure. Knowledge of this event and the self limiting nature of the problem is important for the treating physician. We report two cases where bilateral parotid swelling following upper gastrointestinal endoscopy.
Highlights
Bilateral parotid swelling after upper gastrointestinal procedures is a very rare occurrence
A 32 year old female patient admitted with corrosive ingestion underwent diagnostic upper gastrointestinal endoscopy
There was no change in voice or any other systemic symptoms. Enlargement of both parotid glands was not associated with erythema or local rise of temperature and tenderness (Figure 1.)
Summary
Bilateral parotid swelling after upper gastrointestinal procedures is a very rare occurrence. A 32 year old female patient admitted with corrosive ingestion underwent diagnostic upper gastrointestinal endoscopy. The patient did not receive any sedation or local anesthetic spray before the procedure. Few minutes following the procedure, patient started complaining of swelling and discomfort of the left parotid.
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