Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 6, 2024; 12(34): 6705-6714
Published online Dec 6, 2024. doi: 10.12998/wjcc.v12.i34.6705
Pneumoparotid with imaging findings: A case report and review of literature
Wakako Kubota, Makiko Kyan-Onodera, Yasuomi Fujimoto, Akihiro Sakuma, Ryuji Katada, Chihiro Sugiura
Wakako Kubota, Yasuomi Fujimoto, Akihiro Sakuma, Ryuji Katada, Department of Radiology, Sapporo Tokushukai Hospital, Sapporo 0040041, Hokkaido, Japan
Makiko Kyan-Onodera, Chihiro Sugiura, Department of Dentistry and Oral Surgery, Sapporo Tokushukai Hospital, Sapporo 0040041, Hokkaido, Japan
Author contributions: All authors contributed to the study conception and design; material preparation, data collection, and analysis were performed by Kyan-Onodera M and Kubota W; The first draft of the manuscript was written by Kubota W; Kyan-Onodera M, Fujimoto Y, Sakuma A, Katada R, Sugiura C commented on the manuscript; all authors read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wakako Kubota, MD, Doctor, Department of Radiology, Sapporo Tokushukai Hospital, 1-1, Oyachi-higashi 1, Atsubetsu-ku, Sapporo 0040041, Hokkaido, Japan. waka1kubota@gmail.com
Received: February 5, 2024
Revised: September 1, 2024
Accepted: September 25, 2024
Published online: December 6, 2024
Processing time: 250 Days and 1.2 Hours
Abstract
BACKGROUND

Pneumoparotid is a rare disease associated with retrograde airflow into the ductal system. There is no established treatment for this disease, which has no known complications. Mouth puffing and playing wind instruments are known to be the causes of this disease.

CASE SUMMARY

We managed a case, in which pneumoparotid suddenly recurred 4 months after surgery for purulent parotiditis. The patient did not report any obvious etiological factors, such as mouth puffing or playing a wind instrument. We reviewed 128 articles (from 1941 to 2023) that reported on a total of 166 patients with pneumoparotid, including the patient from the present case report, with imaging findings. This is the first reported case of pneumoparotid following surgery for purulent parotitis. The etiology in our case was classified as idiopathic.

CONCLUSION

Imaging findings could be sufficient for accurate pneumoparotid diagnoses and the exclusion of complications; computed tomography could be useful.

Keywords: Computed tomography; Imaging findings; Parotid gland; Pneumoparotid; Pneumoparotitis; Case report

Core Tip: Pneumoparotid is a rare disease linked to retrograde airflow into the parotid ductal system, often caused by mouth puffing or playing wind instruments. No established treatment exists, and it typically has no complications. We present a unique case of pneumoparotid recurrence 4 months after surgery for purulent parotitis without typical etiological factors. Our review of 128 articles (1941-2023), involving 166 patients, identified this as the first reported case post-parotitis surgery, classified as idiopathic. Imaging, especially computed tomography, proves crucial for accurate diagnosis and excluding complications.