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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2016; 06(02): 066-068
DOI: 10.1055/s-0040-1708644
Case Report

A Submandibular Sialolith of an Unusual Size Presenting With a Cervical Fistula Mimicking a Branchial Fistula: A Case Report

Rajesh Ballal
1   Professors, Department of General Surgery, K. S. Hegde Medical Academy, Mangalore, Karnataka, India
,
KhamarJaha Banu
2   Professors, Department of General Surgery, K. S. Hegde Medical Academy, Mangalore, Karnataka, India
,
Kalpa Pandya
3   Post Graduate, Department of Oral & Maxillofacial Surgery, A.B. Shetty Memorial Institute of Dental Sciences, Nitte University, Mangalore, Karnataka, India
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Abstract

Sialoliths greater than 10 mm in size can be called as those of an unusual size. Only 7.65 % of the sialoliths are >15 mm. Cutaneous fistulas due to submandibular sialoliths are even rarer. A case of a submandibular gland sialolith of an unusual size presenting with a cervical fistula mimicking a branchial fistula has been reported. Intra-operatively, the fistulous tract was found to extend upto the supraclavicular space. Complete excision of the gland along with fistulous tract was performed. Histopathology revealed a sialolith with acute and chronic sialedinitis. The lesion also mimicked a Kuttnor's tumour however a final diagnosis of the same could not be made due to inconclusive Ig G value and absence of plasmacytic infiltration.

Keywords

submandibular gland - calculus - sialadenitis - fistula


Publication History

Received: 20 April 2015

Accepted: 01 March 2016

Article published online:
22 April 2020

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