SONOWORLD : Submandibular gland sialolithiasis

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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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