Calcular parotitis

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

Right periauricular swelling.

Patient Data

Age: 60
Gender: Male
CT

CT Neck

A dense stone is seen at the right parotid gland measuring 5 x 6 mm at the center of its superficial part. Focal enhancement of the posterior part of the gland is seen with associated intra-ductal dilatation and enhancement in keeping with focal calcular parotitis.

Case Discussion

Sialolithiasis is the commonest cause of sialadenitis and submandibular gland is the commonest followed by the parotid gland. Calcular parotitis manifests as heterogeneously attenuating obstructed part with enhancement and proximal ductal dilatation. More severe forms may represent abscess formation and extension of the inflammatory process to the surrounding structures.

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Case information

rID: 54178
Case created: 25th Jun 2017
Last edited: 30th Jun 2017
System: Head & Neck
Inclusion in quiz mode: Included

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