Chronic recurrent sialodenitis with complications

Case contributed by Nafisa Shakir Batta

Presentation

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

Patient Data

Age: 50 years
Gender: Female

Spectrum of findings,commensurate with chronic recurrent sialodenitis

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

No calculus was seen. No fistula discernible. Also considering the lack of fever, there was little possiblity of any one of these cavities to be abcess.

Case Discussion

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

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