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Giant twin sialoliths presenting with acute cellulitis: a case report
1Department of Dental Surgery, Nairobi.
East African Medical Journal
|March 1, 1992
Summary
Sialolithiasis, or salivary stones, can form in salivary ducts. This case highlights double giant stones in a teen, presenting with unusual symptoms like mouth floor cellulitis.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Pathology
Background:
- Sialolithiasis is the formation of salivary stones in salivary gland ducts and tissue, with an unknown cause.
- While most common in middle-aged adults, it can occur at any age.
Observation:
- A rare case of double giant sialoliths in the left Wharton's duct of a 16-year-old male is presented.
- The patient exhibited atypical symptoms, including acute suppurative cellulitis of the mouth floor and localized periodontitis affecting tooth 36.
Findings:
- Surgical extraction of the double giant sialoliths under local anesthesia was successfully performed.
- The patient experienced an uneventful recovery following the procedure.
Implications:
- This case underscores the importance of accurate symptom interpretation and thorough investigation for salivary stone localization.
- Early and precise diagnosis is crucial for effective management of sialolithiasis, even in atypical presentations.