6533b862fe1ef96bd12c762e

RESEARCH PRODUCT

Iodide Mumps After Intravenous and Oral Administration of Contrast Medium

subject

description

A 70-year-old woman with a history of radical cystectomy and continent urinary diversion with a Mainz pouch I due to muscle invasive bladder carcinoma presented for a routine evaluation. Physical examination, electrocardiogram, chest x-ray and routine laboratory values showed no pathological findings. There was no history of salivary gland disease. Excretory urography was performed with 100 ml. nonionic contrast medium (iopromide) injected intravenously. Painless bilateral swelling of the submandibular glands developed 16 hours later without any dysphagia, dyspnea or other allergic reactions (see figure). After systemic treatment with an antihistamine and prednisolone the swelling resolved within 6 hours. One year later the same symptoms developed 12 hours after the oral administration of diatrizoate meglumine a watery contrast medium used for gastroenterological diagnosis. As in the initial episode, symptoms responded to anti-allergenic therapy. DISCUSSION