{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T14:20:15Z","timestamp":1767190815438,"version":"3.48.0"},"reference-count":11,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"unspecified","delay-in-days":30,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,12,12]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>Postsurgical parotitis is a rare postoperative complication characterised by acute, transient unilateral or bilateral swelling of the salivary glands of unclear origin. This case report aims to analyse the management and causes of postsurgical parotitis.<\/jats:p>\n                  <jats:p>A female patient in her mid-40s was admitted for an elective laparotomy and myomectomy due to a symptomatic uterine myoma measuring 3\u00d74\u2009cm, associated with recurrent metrorrhagia. Her medical history included bulimia nervosa and being moderately underweight. Anaesthetic drugs administered during the induction included fentanyl, propofol and atracurium, and for maintenance included sevoflurane and fentanyl. Intravenous atropine was administered intraoperatively in response to severe bradycardia triggered by uterine stimulation. Following extubation, the patient developed bilateral swelling of the parotid glands. The patient remained stable and did not require respiratory support. Symptomatic management was provided, and the swelling had resolved by the time of the follow-up visit, within 1\u2009week after surgery.<\/jats:p>","DOI":"10.1136\/bcr-2025-264985","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T11:35:13Z","timestamp":1767180913000},"page":"e264985","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral parotitis: a rare postoperative complication of general anaesthesia"],"prefix":"10.1136","volume":"18","author":[{"given":"Kristiana Paula","family":"Ramate","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care and Clinical Simulations, Riga Stradi\u0146\u0161 University, Riga, Latvia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martins","family":"Ansons","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care and Clinical Simulations, Riga Stradi\u0146\u0161 University, Riga, Latvia"},{"name":"Anaesthesiology, Intensive Care, Paul Stradins Clinical University Hospital, Riga, Latvia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jevgenija","family":"Solovjova","sequence":"additional","affiliation":[{"name":"Anaesthesiology, Paul Stradins Clinical University Hospital, Riga, Latvia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1533-5746","authenticated-orcid":false,"given":"Mara","family":"Klibus","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care and Clinical Simulations, Riga Stradi\u0146\u0161 University, Riga, Latvia"},{"name":"Anaesthesiology, Intensive Care, Paul Stradins Clinical University Hospital, Riga, Latvia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darja","family":"Smirnova","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care and Clinical Simulations, Riga Stradi\u0146\u0161 University, Riga, Latvia"},{"name":"Anaesthesiology, Intensive Care, Paul Stradins Clinical University Hospital, Riga, Latvia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"Sarkele","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care and Clinical Simulations, Riga Stradi\u0146\u0161 University, Riga, Latvia"},{"name":"Anaesthesiology, Paul Stradins Clinical University Hospital, Riga, Latvia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olegs","family":"Sabelnikovs","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care and Clinical Simulations, Riga Stradi\u0146\u0161 University, Riga, Latvia"},{"name":"Anaesthesiology, Intensive Care, Paul Stradins Clinical University Hospital, Riga, Latvia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,12,31]]},"reference":[{"key":"2025123106150402000_18.12.e264985.1","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2022.1039362","article-title":"Anesthesia mumps with airway obstruction after radical nephrectomy: A case report and literature review","volume":"9","author":"Li","year":"2022","journal-title":"Front Surg"},{"key":"2025123106150402000_18.12.e264985.2","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2021.02.018","article-title":"Anaesthesia mumps after laparoscopic right hemicolectomy under general anaesthesia: A case report","volume":"80","author":"Liu","year":"2021","journal-title":"Int J Surg Case Rep"},{"key":"2025123106150402000_18.12.e264985.3","article-title":"Acute Post-operative Transient Sialadenitis \u201cAnesthesia Mumps\u201d After Caesarean Section Under Spinal Anesthesia: A Case Report","volume":"15","author":"Jarrar","year":"2023","journal-title":"Cureus"},{"key":"2025123106150402000_18.12.e264985.4","doi-asserted-by":"publisher","DOI":"10.1007\/s12663-016-0913-7"},{"key":"2025123106150402000_18.12.e264985.5","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1213\/00000539-197007000-00009","article-title":"Benign Transient Swelling of the Parotid Glands Following General Anesthesia","volume":"49","author":"Reilly","year":"1970","journal-title":"Anesth Analg"},{"key":"2025123106150402000_18.12.e264985.6","article-title":"A Case of Bilateral Anesthesia Mumps after Cesarean Section under Spinal Anesthesia: A Rare Case and Literature Review","volume":"2022","author":"Montazeri","year":"2022","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025123106150402000_18.12.e264985.7","doi-asserted-by":"crossref","first-page":"352","DOI":"10.4103\/aer.AER_80_20","article-title":"Acute Transient Sialadenitis - 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