A Case Report of Pathological Perspectives of Sialolithiasis

Abstract

Sialadenitis refers to inflammation of the major salivary glands. It is a gradually progressing inflammatory condition that can result in the formation of fibrous tissue within the affected glands. Sialadenitis is generally caused by the existence of salivary duct stone, known as a sialolith. Sialolithiasis, the term for the formation of these stones within the salivary glands, typically presents with localized pain and tenderness. A 70-year-old male patient reported with chief complaints of painful swelling on the left side lower jaw region for the past 20 days. Upon examination, a diffuse swelling is noticed of about 3x3 cm in size located in the left submandibular region which is tender on palpation. Floor of the mouth on the left side appears elevated and feels firm in consistency. OPG reveals a radio-opaque structure approximately 1x1 cm in size, surrounded by an ill-defined radiolucent lesion in the left mandibular region in relation to periapical region of 36. Conclusion: Based on histopathological examination a final diagnostic evaluation for sialolithiasis (interlobular ducts) with sialadenitis (submandibular salivary gland) was confirmed.