Case Report: Giant Sialolito Expelled Spontaneously after Sialadenitis

Introduction: Sialolithiasis characterized by obstruction of salivary secretion by calculations within the duct or glandular parenchyma may determine the increase in the volume of the gland during meals, during which greater salivary secretion occurs. The clinical conditions associated usually are edema and pain.

Objective: To report shall be expelled if sialolithiasis giant spontaneously after sialadenitis in a patient treated at the Service of Otorhinolaryngology, HFA-DF.

Case Summary: A 42-year-old male patient (T.L.A.), coming from Brasilia, was treated at the Emergency Department of Otorhinolaryngology, Hospital of the Armed Forces with fever, severe pain in the left submandibular region associated with drainage of pus in the mouth floor to the left for 3 days, and prescribed amoxicillin-clavulanate 875/125 mg, 12/12 h for 10 days, prednisolone 40 mg daily for 5 days. There was significant clinical improvement, with 4 days of antibiotic therapy, was expelled spontaneously calculus 2.5 × 1.0 cm left submandibular gland. Calculations should be considered large when greater than 1.5 cm and are rare.

Conclusion: Although, sialolithiasis can occur in any salivary gland, the submandibular gland and its excretory duct are the most affected. Usually it is asymptomatic and slow growing; the sialolito is usually only detected by chance, as an incidental finding or evolving with sialadenitis, as in our case.

Keywords: sialolithiasis, sialoadenitis, sialolithiasis giant.