Parotid Sialolithiasis without Classical Clinical or Imaging Features: A Case Report
-
Revathi Krishna
,
Rezhat Abbas
,
Priya Kumar
,
Jeyaseelan Augustine
,
Zainab Chaudhary
,
Aadithya Basavaraj Urs
Abstract
Sialolithiasis of the parotid gland is an uncommon occurrence, accounting for only 10–20% of all salivary calculi. This report describes an unusual case of parotid sialolithiasis in a 42-year-old female who presented with a soft, tender, and ill-defined swelling on the left side of the face persisting for one year. Clinical examination showed no notable extraoral or intraoral swelling. Magnetic resonance imaging revealed an intensely enhancing lesion anterior to the left masseter region, suggestive of a soft tissue neoplasm such as lipoma, fibroma, or hemangioma. Histopathological examination aided in the identification of sialolith within the excretory duct, accompanied by extensive destruction of the serous acini by chronic lymphoplasmacytic infiltrate, aiding in the diagnosis. This case underscores the diagnostic challenge posed by parotid sialoliths lacking classical symptoms and the absence of its detection in diagnostic imaging. Keywords: Sialolithiasis; Parotid; Magnetic resonance imaging.
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2. Kraaij S, Karagozoglu KH, Forouzanfar T, Veerman EC, Brand HS. Salivary stones: symptoms, aetiology, biochemical composition and treatment. British dental journal. 2014 Dec;217(11):E23-.
3. Antoniadis D, Mendonidou L, Papanayotou P, Trigonidis G. Clinical study of sialolithiasis. Findings from 100 cases. Hellenika stomatologika chronika. Hellenic stomatological annals. 1989;33(4):245-51.
4. Marchal F, Kurt AM, Dulguerov P, Lehmann W. Retrograde theory in sialolithiasis formation. Archives of Otolaryngology–Head & Neck Surgery. 2001 Jan 1;127(1):66-8.
| Files | ||
| Issue | Vol 12, No 4 (Autumn 2025) | |
| Section | Case Report(s) | |
| Keywords | ||
| Sialolithiasis; Parotid; Magnetic resonance imaging. | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Krishna R, Abbas R, Kumar P, Augustine J, Chaudhary Z, Basavaraj Urs A. Parotid Sialolithiasis without Classical Clinical or Imaging Features: A Case Report. J Craniomaxillofac Res. 2026;12(4):299-301.
