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Chronic recurrent sialodenitis with complications

Case contributed by Nafisa Shakir Batta
Diagnosis certain

Presentation

History of disappearing cheek swelling and feeling of too much salivation.

Patient Data

Age: 50 years
Gender: Female

The spectrum of findings is commensurate with chronic recurrent sialadenitis:

Sialodochitis with strictures, duct ectasia (sialectasia), sialocele formation (intraparenchymal cavities in parotid gland), and a large periductal diverticulum.

No calculus was seen. No fistula discernible. Also considering the lack of fever, there was little possibility of any one of these cavities being an abscess.

Case Discussion

Sialography was performed for this patient after cannulation of both Stensen ducts of the parotid glands and revealed enlarged parotids, sialodochitis with ductal strictures, duct ectasia (sialectasia), sialocele formation (intraparenchymal cavities in parotid gland), and a large periductal diverticulum.

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