Chronic submandibular sialadenitis

Case contributed by Dr Varun Babu

Presentation

Recurrent bouts of bilateral submandibular swelling

Patient Data

Age: 40 years
Gender: Female
Ultrasound

Diffusely swollen submandibular glands replaced by numerous parenchymal cysts, typically seen in chronic salivary gland inflammation. 

Symmetrically bulky bilateral submandibular glands with maximal cross section dimensions of 31 x 24 mm and 27 x 21 mm on right and left sides respectively. Couple of subcentimeter bilateral level Ib nodes. Dynamic post i.v. gadolinium contrast shows symmetric progressive persistent enhancement of both glands.

Case Discussion

The lack of a focal lesion, with diffuse cystic change of both glands with relatively preserved internal architecture favors diagnosis of chronic bilateral sialadenitis

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Case information

rID: 61852
Published: 20th Jul 2018
Last edited: 14th Aug 2019
System: Head & Neck
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

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