Wharton's duct stone

Case contributed by Dr Mostafa El-Feky

Presentation

Pain left submandibular region.

Patient Data

Age: 40 years
Gender: Female
CT

CT Neck

A dense stone, measuring 4 x 4 x 3 mm is noted along the anatomical site of the course of the left Wharton's duct. This is associated with mild ectasia the main duct proximally (calcular obstruction of the left Wharton's duct). Normal CT features of the submandibular gland. Few small submental (level Ia) and bilateral submandibular (level Ib) adenopathy noted (reactive looking).

Bilateral elongation of styloid processes is incidentally noted.

Case Discussion

Submandibular gland/duct stones are the commonest form of sialolithiasis. It usually presents with recurrent swelling and pain at submandibular gland, especially with meals. It can predispose to infection (sialadenitis) due to obstruction. In chronic cases of obstruction, the gland undergoes fatty atrophy and becomes asymptomatic, unless secondarily infected.

PlayAdd to Share

Case information

rID: 52810
Published: 22nd Apr 2017
Last edited: 23rd Mar 2019
System: Head & Neck
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.