Case Study - Special Collection: Paediatric Radiology

Complicated spontaneous pneumoparotid mimicking a neck mass in a child with Down’s syndrome

Sheree C. Gray, Jacobus A. Pienaar, Zelia Sofianos, Jacob Varghese
South African Journal of Radiology | Vol 24, No 1 | a1883 | DOI: https://doi.org/10.4102/sajr.v24i1.1883 | © 2020 Sheree C. Gray, Jacobus A. Pienaar, Zelia Sofianos, Jacob Varghese | This work is licensed under CC Attribution 4.0
Submitted: 21 March 2020 | Published: 13 July 2020

About the author(s)

Sheree C. Gray, Department of Radiology, Faculty of Radiology, Klerksdorp/Tshepong Hospital Complex, Klerksdorp, South Africa
Jacobus A. Pienaar, Department of Radiology, Faculty of Radiology, Klerksdorp/Tshepong Hospital Complex, Klerksdorp, South Africa
Zelia Sofianos, Department of Radiology, Faculty of Radiology, University of the Witwatersrand, Johannesburg, South Africa
Jacob Varghese, Department of Radiology, Faculty of Radiology, Klerksdorp/Tshepong Hospital Complex, Klerksdorp, South Africa


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Abstract

Spontaneous or self-induced pneumoparotid, which usually manifests as acute unilateral gland enlargement, is caused by insufflation of air from the oral cavity via Stensen’s duct. A 9-year-old patient, with known Down’s syndrome, presented with a progressively enlarging, painless, spontaneous, left neck mass. Computed tomography showed features consistent with pneumoparotid, without underlying associated pathology. Identification of true cases of spontaneous pneumoparotid is crucial, as these require a holistic management approach to prevent recurrence and complications.

Keywords

Pneumoparotid; Spontaneous; Self-induced pneumoparotid; Stensen’s duct; Paediatric population

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