Submandibular duct stone with sialocyst

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Left jaw painful swelling

Patient Data

Age: 35 years
Gender: Female

A 5 mm calculus is seen at the distal part of the left submandibular (Wharton’s) duct. The left submandibular gland is enlarged with a cystic appearance. There is an associated large multiloculated cystic lesion of the submandibular space with extension to the upper cervical region, measuring 53 × 36 × 35 mm.

Contralateral submandibular gland is unremarkable.

Incidental note of right palatine tonsillolith. Streak artefact from dental amalgam.

Case Discussion

Left submandibular duct stone and a multicystic lesion of left submandibular and upper cervical region, compatible with, and most likely, a mucus retention cyst (also known as a sialocyst) due to chronic obstruction.

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Case information

rID: 61985
Published: 27th Jul 2018
Last edited: 27th Jul 2018
System: Head & Neck
Inclusion in quiz mode: Included
Institution: Tabesh medical imaging center

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