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Thyroid/parathyroid » General
Submandibular gland sialolithiasis
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Author(s) :
Urveesh Vasawada, MD
 
Presentation A 9-year-old girl presents with recurrent painful swelling in the region of the left submandibular gland. On examination there was tender swelling with no signs of local inflammation. A focused ultrasound was performed.
 
 
 
Caption: Scan in the region of the left submandibular gland
Description: The left submandibular gland appears enlarged and hypoechoic. A tubular structure is seen leading towards the gland, which is a dilated submandibular duct. In the proximal portion of the duct, an echogenic calculus is seen, which is the cause of the duct dilatation.
 
 
 
Caption: Magnified image at the site of clinical swelling
Description: The enlarged submandibular gland with its dilated duct is seen. A hypoechoic enlarged lymph node is seen adjacent to the submandibular gland.
 
 
 
Caption: Magnified image of the proximal portion of the duct
Description: The echogenic calculus measuring 8 mm is clearly seen in this image.
 
 
 
Caption: Color Doppler image of the region of interest
Description: The submandibular gland shows increased vascularity, consistent with inflammation.
 
Differential Diagnosis Submandibular gland sialolithiasis
 
Final Diagnosis Submandibular gland sialolithiasis
 
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