Open AccessAcute sialadenitis by iodine contrast medium administration
Author(s) -
M.E. Navarro-Aguilar,
M C Gonzalvo-Liarte,
C Valiente-Martínez,
C A Sesam-Mendez,
I Quintana-Martínez,
J. Navarro-Calzada
Publication year - 2021
Publication title -
anales del sistema sanitario de navarra
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.175
H-Index - 23
eISSN - 2340-3527
pISSN - 1137-6627
DOI - 10.23938/assn.0950
Subject(s) - sialadenitis , medicine , iodinated contrast , contrast medium , iodine , differential diagnosis , radiology , adverse effect , submandibular gland , angioedema , salivary gland , pathology , computed tomography , dermatology , materials science , metallurgy
Acute iodide sialadenitis is a rare adverse reaction to iodinated contrast that causes self-limited salivary gland swell-ing. Its pathogenesis is still unclear, although kidney failure may be a risk factor. The diagnosis is initially clinical but angioedema, infections and lithiasis should be included in the differential diagnosis. No treatment or prophylaxis was proven to be beneficial. Although its prognosis is benign, associated complications have been reported. We report a case of 68-year-old man with swelling of the submandibular salivary glands after the administration of iodine-based contrast media during an abdominal computed tomography examination. Because of the widespread use of iodinated contrast enhanced imaging and interventional techniques, clinicians should be aware of this issue.