Acute left parotid sialadenitis

Case contributed by Dr Henry Knipe

Presentation

Tender and swollen left parotid. Background Sjorgens syndrome. ?abscess ?stone in duct.

Patient Data

Age: 55
Gender: Female

There is increased density and size of the left parotid and fat stranding adjacent to the left mandbile and maxilla. No abscess or stone seen (although artefact from dental fillings significantly affects image quality). Left posterior triangle lymphadenopathy. 

Ultrasound

Performed the next day.

Dilated left parotid gland duct and a palpable 3x3mm stone is demonstrated in its most distal portion near the duct orifice. Oedematous left parotid gland. 

Case Discussion

The patient went on to theatre and a histologically confirmed sialolith was retrieved. 

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Case information

rID: 26160
Case created: 3rd Dec 2013
Last edited: 17th Jan 2016
System: Head & Neck
Inclusion in quiz mode: Included

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