Acute Bilateral Swelling of the Parotid Gland After General Anesthesia in Lateral Decubitus Position

A rare but well-known anesthetic side effect is acute parotid gland enlargement after general anesthesia, sometimes known as anesthesia mumps or acute post-operative sialadenitis. Acute dehydration, obstruction of glandular excretory ducts caused by the position of the patient, and/or medications such as atropine that increase saliva viscosity have all been proposed as potential causes, while the specific cause is still unknown. We present a case of a 41-year-old patient who underwent a right open anatrophic pyelolithotomy for a staghorn calculus in the left lateral decubitus position and had swelling in the right and left preauricular and postauricular regions, which had progressed to the angle of the mandible post-operatively.