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CASE REPORT
Spontaneous cutaneous extrusion of a parotid gland sialolith
  1. Kelly Brown1,
  2. Tricia Cheah2,
  3. Jennifer F Ha1,3
  1. 1Department of Otorhinolaryngology, Head & Neck Surgery, Royal Perth Hospital, Perth, Western Australia, Australia
  2. 2Department of Otorhinolaryngology, Head & Neck Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
  3. 3CS Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan, USA
  1. Correspondence to Dr Tricia Cheah, tricia.cheah{at}gmail.com

Summary

Parotid gland sialolithiasis is an uncommon condition that can cause pain and recurrent infection in affected patients. Migration of a stone through a fistula is a rare but possible complication of untreated sialolithiasis. We present a case of parotid gland sialolithiasis in a 63-year-old woman with recurrent episodes of parotitis and facial pain, which resolved through spontaneous extrusion of the stone (11 mm) through a cutaneous fistula while awaiting surgery. Management is typically conservative or surgical, depending on the location and size of the stone, and the clinical presentation.

https://doi.org/10.1136/bcr-2016-214887

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