Case Report
Unusually large sialolith of submandibular gland
Haci Taner Bulut
Department of Radiology, Medical Faculty of Adiyaman University, Adiyaman, Turkey.


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Haci Taner Bulut
MD, Department of Radiology, Medical Faculty of Adiyaman University
Phone: +90 530 207 15 17
Fax: +90 416 227 08 63

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How to cite this article
Bulut HT. Unusually large sialolith of submandibular gland. Int J Case Rep Images 2014;5(9):625–628.

Introduction: Pathologically sialolithiasis is a disease which results in the obstruction of a salivary gland by a sialolith. Sialolith is generally seen in small size and their sizes range from 1 mm to 1 cm. Large salivary gland calculi are infrequent and defined as the size of 1.5 cm or larger. Only a few cases of large sialolith of the submandibular glands have been reported in literature. Imaging methods have an important role in making a diagnosis and in planning further management, operative or otherwise.
Case Report: A 52-year-old male patient with multiple stones in the submandibular gland admitted to our hospital with swelling at submandibular region. Plain films show large stones at the region of submandibular gland. The maximum stone size was 1.8x0.8 mm. Submandibular gland size increased due to the sialoadenitis caused by stones. After surgery, the patient had a nearly normal function of the glands for three months.
Conclusion: The swelling which is seen in the submandibular region most commonly originates from sialolithiasis of submandibular gland, so it should be carefully evaluated by clinicians. Diagnostic imaging methods may complement each other in examining glands with sialolithiasis and may offer a promising diagnostic strategy for treatment and follow-up studies in sialolithiasis.

Keywords: Sialolithiasis, Large sialolith, Submandibular gland, Imaging

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Author Contributions
Haci Taner Bulut – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
© 2014 Haci Taner Bulut. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.

About The Author

Haci Taner Bulut is Medical Faculty in Department of Radiology, Adiyaman University, Adiyaman, Turkey. He has published many research papers in national and international academic journals. His research interests include neuroradiology, MR imaging. He/she intends to pursue Postdoocs in future.