Presentation
Left submandibular region pain - 20 days. ? Pus discharge from floor of mouth.
Patient Data
Age: about 20 - 25 yrs
Gender: Female
From the case:
Sialolithiasis - submandibular gland
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There is an echogenic focus (8 mm) with acoustic shadowing in the proximal-most part of the left submandibular duct where it exits the submandibular gland. The proximal intraglandular duct shows mild dilatation. Submandibular duct distal to calculus is filled with echoes. The left submandibular gland is mildly enlarged, hypoechoic, and hypervascular. There is no mass lesion in the gland.
The right submandibular gland shows a normal echo pattern and size. There is no dilated duct/ mass lesion.
The rest of the neck examination was normal.
Case Discussion
Sialolithiasis most commonly occurs in the submandibular gland, as demonstrated in this case.
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