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Case report
Curious case of submandibular swelling
  1. Naveen Sivadas,
  2. Riju Ramachandran,
  3. Anoop V Pillai and
  4. Sivasankar Krishnakumar
  1. Department of General Surgery, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India
  1. Correspondence to Dr Riju Ramachandran; rijurmenon{at}


A 35-year-old woman presented with a progressively increasing swelling over the left side of the upper part of the neck for the past 8 months with no associated pain over the swelling. On examination, a non-tender, firm, well-defined, oval swelling of size 3×2 cm was palpable in the left submandibular region that was mobile, non-pulsatile and free from the overlying skin and the underlying muscle. Ultrasonography revealed a bilobed heteroechoic lesion in the left submandibular region with internal vascularity and multiple macrocalcification within it. During the procedure for surgically excising the swelling, we found that it was separate from the gland and vascular structures, had a sinus tracking over and around the left submandibular gland extending beyond the angle of mandible up to the root of a decayed left lower second molar tooth.

  • dentistry and oral medicine
  • infections
  • head and neck surgery
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  • Contributors NS: concept, acquisition, interpretation of data, drafting the paper, final approval; agreement to be accountable. AVP: acquisition of data, revising critically, final approval; agreement to be accountable. RR: concept, design, interpretation of data, revising critically for important intellectual content, final approval; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. SK: acquisition of data, final approval; agreement to be accountable.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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