Submandibular sialolithiasis

Case contributed by Dr Mostafa El-Feky

Presentation

Periprandial submandibular pain.

Patient Data

Age: 30
Gender: Male
CT

CT Neck

Each duct of the submandibular salivary glands (Wharton's ducts) showed two stones, the largest is approximately 5 mm in size. On the right side, a proximal stone is noted at the hilum of the gland while a distal stone is noted about 1 cm proximal to the terminal ostium. On the left side, a proximal stone is noted at the hilum of the gland while a distal stone is noted at the terminal ostium. Both ducts are mildly dilated reaching 4.5 mm.

Both submandibular glands are average in size with no abnormal enhancement. Mild bilateral intraglandular ducts dilatation with no evidence of associated sialadenitis. No definite intraglandular stones.

Case Discussion

The submandibular glands are the commonest site of sialolithiasis. Stone formation occurs in the Wharton's duct or intraglandular or both. Sialolithiasis can predispose to sialadenitis.

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Case information

rID: 53749
Published: 5th Jun 2017
Last edited: 14th Aug 2019
System: Head & Neck
Inclusion in quiz mode: Included

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