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Case Reports: Unusual presentation of more common disease/injury
Submandibular sialolith migration
  1. Philip Cannon,
  2. Dujanah Bhatti,
  3. Sam Arman and
  4. Athena Togo
  1. ENT Department, Raigmore Hospital, NHS Highland, Inverness, UK
  1. Correspondence to Dr Philip Cannon; philip.cannon{at}hotmail.com

Abstract

A middle-aged male Caucasian had rejected previous offers of surgery for submandibular gland removal in the past due to concerns about surgical complications. He presented with a month’s history of submandibular swelling and severe pain, which impeded his ability to eat. Prior to admission, he had been experiencing intermittent sialadenitis for several months. Cross-sectional imaging demonstrated a 16×12 mm migratory sialolith, located superficial to the right submandibular gland within a large loculated abscess. The patient underwent an incision and drainage of the abscess under general anaesthetic and the sialolith was expressed. He was discharged home with oral antibiotics and was followed up as an outpatient. This case serves to highlight a rare complication of chronic sialolithiasis.

  • Ear, nose and throat/otolaryngology
  • Otolaryngology / ENT
  • Radiology

https://doi.org/10.1136/bcr-2022-252482

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content—PC, DB, SA and AT. The following authors gave final approval of the manuscript—PC, DB, SA and AT.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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