Article PDF :

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Article type :

Case Report

Author :

Gargi Atul Patil, Vishwas Kadam, Lata Kale, Sonia Sodhi

Volume :

7

Issue :

1

Abstract :

Background: Salivary gland calculi account for the most common disease of the salivary glands. The majority of sialoliths occur in the submandibular gland or its duct and are a common cause of acute and chronic infections. Sialoliths attaining a size of more than 1.5 centimetres are rare. Materials and Methods: This case report presents a middle-aged male patient with enlarged tender swelling with left submandibular gland. Mandibular occlusal radiography followed by computed tomography was done. Surgical removal of stone was done under local anaesthesia. Results: Conventional mandibular cross-sectional occlusal radiograph was taken and it revealed a dense radio-opacity on left side with branching with the posterior extent not seen and other round shaped radioopacity superior to giant stone which is superimposed and visible on careful examination. Computed tomography revealed a single hyperdense mass in left submandibular region with obvious branching seen. Medical management followed by left submandibular intraoral stone extraction along with second round shaped sialolith was performed and it revealed one large stone measuring 2.5 centimetres with branching & other one with 0.7 centimetres. The patient had smooth recovery with no complications on follow-up. Conclusion: In the present case our patient presented with typical clinical and radiographic findings of a rare giant intraductal submandibular sialolith with lateral branching. Calcification in the accessory salivary gland was unique in our case. The present case illustrates the need for proper diagnosis and treatment of choice in the case of salivary gland diseases.