Salivoma after carotid endarterectomy

Asif Bashir, Mohammed Hussain, Haitham Dababneh, Deborah Rosin, Aaron A. Cohen-Gadol

Research output: Contribution to journalArticle

Abstract

Although the diagnosis and management of postoperative or traumatic fluid collections have been documented extensively in the literature, to our knowledge the occurrence of a salivoma after carotid endarterectomy has not been reported. We report an extra salivary glandular collection of saliva - a "salivoma" - in a 79-year-old patient who underwent a carotid endarterectomy with a high carotid bifurcation. He presented with serous watery drainage from the incision site that had started spontaneously 4 days after surgery. The patient was taken to the operating room for exploration and washout of the wound with presumption of an infectious source. As self-retaining retractors were placed under the platysma, a large release of serous fluid occurred. Copious irrigation allowed complete washout of the wound. On postoperative day 2, the patient re-exhibited neck wound fullness and a Penrose drain was placed in the incision with clear serous fluid flowing through the drain. The patient was given a scopolamine patch to decrease salivary secretions. Within 5 days, the drainage significantly decreased and the drain was removed. This diagnosis should be included in the differential diagnosis of an expanding neck mass following carotid endarterectomy to properly treat this complication.

Original languageEnglish (US)
Pages (from-to)1058-1060
Number of pages3
JournalJournal of Clinical Neuroscience
Volume21
Issue number6
DOIs
StatePublished - Jun 2014

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Keywords

  • Complications
  • Endarterectomy
  • Salivary glands
  • Salivoma

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Physiology (medical)
  • Medicine(all)

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