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Parotid sialadenitis

Case contributed by Dr Mostafa El-Feky

Presentation

Left-sided facial and neck tender swelling.

Patient Data

Age: 35 years
Gender: Male
CT

Neck

The left parotid gland shows marked diffuse enlargement with indistinct margins and heterogeneous attenuation associated with edema of the adjacent subcutaneous soft tissues. No collections or abscesses in the parotid space. No glandular or ductal stones.

Multiple enlarged left intraparotid and upper deep cervical lymph nodes. The left submandibular gland showed irregular borders by the enlarged nearby lymph nodes.

Opacification of left mastoid air cells and middle ear cavity with no ossicular erosions in keeping with otomastoiditis. Diffusely thickened soft tissue lining of the left external auditory canal, reflecting associated otitis externa.

Case Discussion

This case demonstrates parotid sialadenitis secondary to otomastoiditis. Otomastoiditis can spread infection to nearby anatomical structures. Parotid sialadenitis can be due to obstruction of Stensen's duct with a stone (sialolith) or infection.

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Case information

rID: 53183
Published: 13th May 2017
Last edited: 30th Aug 2019
System: Head & Neck
Inclusion in quiz mode: Included

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