Right Submandibular Sialolithiasis with Non-Specific Sialadenitis

Right Submandibular Sialolithiasis with Non-Specific Sialadenitis

Patient: 48-year-old male with hypertension, no diabetes or other systemic illness, presented with right submandibular swelling. No constitutional symptoms or relevant drug/exposure history.

Presentation: Chronic right submandibular swelling. Details about pain, discharge, or triggers (e.g., meal-related) were not documented.

Investigations:
Neck ultrasound revealed:

• Mildly enlarged, heterogeneous right submandibular gland

• 6 mm echogenic hilar focus (sialolith)

• Mild ductal dilatation and inflammatory changes

• Reactive right cervical lymphadenopathy with preserved nodal architecture
  Other salivary glands and thyroid were normal; laboratory tests were within normal limits.

Diagnosis: Findings consistent with obstructive sialadenitis secondary to a hilar sialolith.
Differential diagnoses included chronic sclerosing sialadenitis and sialadenosis; neoplasm was unlikely but excluded by histology.

Management: The patient underwent right submandibular gland excision under general anesthesia. Standard precautions for nerve preservation were implied; no complications were reported.

Histopathology: Confirmed non-specific (chronic) sialadenitis due to ductal obstruction by a stone, with no malignancy.

Postoperative Course: Not detailed, but standard care would include wound and nerve function assessment, pain control, and follow-up of reactive lymphadenopathy.