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01-10-2020 | Sialolithiasis | Clinical Image
Bilateral Sialolithiasis in a Patient with Sjögren Syndrome
Published in: Journal of General Internal Medicine | Issue 10/2020
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A 57-year-old woman with Sjögren syndrome presented with acute onset right submandibular swelling and pain with associated fever and dysphagia. She had bilateral submandibular gland tenderness with palpable stones along the ducts. There was no fluctuance or erythema. Computed tomography revealed several stones in the bilateral submandibular ducts with right-sided sialoadenitis (Fig. 1a).
Fig. 1
a Computed tomography with contrast revealed right submandibular sialoadenitis with at least 6 stones throughout its length (blue arrow), and left submandibular sialolithiasis without evidence of sialoadenitis (orange arrow). b Sialoliths that the patient expelled on day 4 of admission.
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