Submandibular sialolithiasis and chronic sialadenitis

Case contributed by Mohammad Farghali Ali Tosson
Diagnosis almost certain


Neck pain, hotness and redness

Patient Data

Age: 50 years
Gender: Female
  • large calculus seen at the junction between the right submandibular gland and its duct with subsequent sialectasis
  • atrophic changes of the right gland with abscess formation
  • multiple calculi seen at the distal portion of the duct with subsequent sialectasis
  • multiple calculi seen implicating the left submandibular duct, the largest seen at the junction between the gland and the duct while smaller one seen at the distal duct (sublingual coarse) with minimal dilatation of the duct. The gland itself is of average size with no focal lesion
  • bilateral enlarged cervical lymph nodes

Case Discussion

  • right chronic sialadenitis secondary to sialolithiasis with abscess formation
  • left sialolithiasis

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