Chronic Submandibular sialolithiasis

Case contributed by Dr Chris O'Donnell

Presentation

Chronic left neck pain.

Patient Data

Age: 45 years
Gender: Male

Large calculus at the junction of the left submandibular gland and duct, not at the typical position of the midline papilla in the floor of the mouth. Gross atrophy and fatty replacement of the left submandibular gland (arrow).

Note all that remains are the intraparenchymal ducts radiating towards the calculus - gland has atrophied to fat (arrow) and the normal right submandibular gland (arrow).

Case Discussion

Chronic salivary gland duct obstruction causes atrophy and fatty replacement of the gland.

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Case information

rID: 16880
Published: 26th Feb 2012
Last edited: 24th Sep 2019
System: Head & Neck
Inclusion in quiz mode: Included

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