Bilateral submandibular sialolithiasis with sialadenitis

Case contributed by Dr Olumuyiwa Ifedayo Ajayi


Bilateral painful neck swelling with occasional fever. Pain is worse after eating.

Patient Data

Age: 60 years
Gender: Male

Non-contrast CT images demonstrate multiple large, oval-shaped calculi in both submandibular gland ducts. An intraglandular calculus is also noted on the right. 

Both submandibular glands are asymmetrically enlarged and vividly enhancing with surrounding fat stranding (more on the right) and edema due to the inflammatory process.

Case Discussion

This case depicts intraductal and intraglandular calculi within the submandibular gland. Due to calculi being a dominant etiological factor, the distribution of sialadenitis follows that of sialolithiasis, and therefore the submandibular gland is the commonest to be affected.

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Case information

rID: 70721
Published: 11th Sep 2019
Last edited: 15th Sep 2019
System: Head & Neck
Inclusion in quiz mode: Included
Institution: Clinix Healthcare

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