Sialadenitis with abscess

Case contributed by Domenico Nicoletti
Diagnosis almost certain

Presentation

Two week history of a massive swelling of the left submandibular with difficulty swallowing and phonation, without fever. Leukocytosis.

Patient Data

Age: 73
Gender: Female
ultrasound

Ultrasonography evidence left submandibolary salivary gland volumetric expansion with presence of an adjacent of fluid collection.

Numerous pathological reactive lymph nodes.

ct

CT with contrast agent (coronal plane reconstructions) shows the inflamed left salivary gland and an abscess bound to the floor of the mouth on the same side.

No detectable salivary stones.

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