Case report: giant parotid sialolith presenting in a two ‐year‐old boy ‐ an important differential diagnosis in paediatric facial pain

We present a case of a 25mm parotid sialolith in a two ‐year‐old boy. He presented to the emergency department with recurrent right‐sided facial swelling and was admitted for management of suspected parotitis. An ultrasound completed the next day revealed massive dilatation of the right Stensen's duct throughout its length. After 24 hours of intra venous co‐amoxiclav did not relieve symptoms, the patient was listed for examination under general anaesthesia. A 25mm calculus was dissected from the right parotid duct alongside copious free‐flowing pus, with follow‐up showing normal healing. This case highlights the importance of not omitti ng this differential diagnosis in paediatric facial swelling, despite its rarity in children.
Source: Oral Surgery - Category: ENT & OMF Authors: Tags: Case Report Source Type: research