Submandibular sialolithiasis in a child

A 14-year-old boy presented with a 6-year history of intermittent right submandibular swelling. It arose with no specific trigger but was associated with pain on swallowing. It usually lasted several hours before spontaneously subsiding. There was no pyrexia, sore throat, tuberculosis contact or foreign travel. On examination the lump measured 3x3 cm, was non-tender, firm, mobile, non-fluctuant, with normal overlying skin. The patient thrived along the 25th and 50th centiles for height and weight respectively. No lymphadenopathy, pallor or petechiae was noted. All systemic examinations were normal. Laboratory findings, chest x-ray and neck ultrasound scan were normal. A presumed diagnosis of reactive submandibular lymphadenitis was made but the swelling was resistant to antibiotics. Subsequent bimanual palpation revealed a stone in the right submandibular gland. This was confirmed on neck x-ray (figure 1) and was removed surgically. Sialolithiasis in children comprises only 3% of all cases.1 The...
Source: Archives of Disease in Childhood - Category: Pediatrics Authors: Tags: Miscellanea Source Type: research

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