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September 1942


Author Affiliations

Professor of Surgery ST. LOUIS; ELDORADO, ILL.
From the Department of Surgery, St. Louis University School of Medicine.; Dr. Coughlin died on May 22, 1940. This paper was begun as a joint study and was completed by the junior author.

Arch Surg. 1942;45(3):361-405. doi:10.1001/archsurg.1942.01220030028003

Under the title "acute surgical parotiditis" may be grouped all acute inflammations of the parotid gland except that occurring in mumps.

The condition has been written about under many other names. It should not be called secondary parotiditis, for it occurs also as a primary disease. The names "septic," "gangrenous," "suppurative," "phlegmonous" or "necrotic" describe only various phases of the one disease—differences in degree of inflammation. "Postoperative" is no more appropriate than "postpneumonic," since the disease occurs after a great number of other conditions—Custer enumerated some twenty-five, and the same disease occurs in those otherwise healthy (Nicol). It has been called sympathetic parotiditis because it was known to occur after injuries to the testicle and sometimes after even slight operations on the genitourinary tract, e. g., passing of a sound, placing of a pessary or catheterization of the bladder (Paget). Later, when surgeons began to operate in the abdomen,

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