Sialolithiasis - submandibular gland

Case contributed by Dr Maulik S Patel

Presentation

Left submandibular region pain - 20 days. ? Pus discharge from floor of mouth.

Patient Data

Age: about 20 - 25 yrs
Gender: Female
Ultrasound

A calculus (8 mm) is noted in distal part of left submandibular gland. Proximal duct is dilated - 2.4 mm.  Duct distal to calculus is ? filled with echoes.

LEFT submandibular gland is mildly enlarged, hypoechoic and hypervascular. Intragland ducts are not dilated.

RIGHT submandibular gland and superficial lobes of both parotid glands show normal echopattern and size.

Case Discussion

Sialolithiasis most commonly occurs in the submandibular gland, as demonstrated in this case. 

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Case information

rID: 24715
Case created: 6th Sep 2013
Last edited: 18th Dec 2015
System: Head & Neck
Tag: ent
Inclusion in quiz mode: Included

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