THE STONE CLOGGING THE CANAL


Eker Y. B., Şahin E., Tekin E.

XX. Ulusal Acil Tıp Kongresi & XI. Intercontinental Emergency Medicine Congress & XI. International Critical Care and Emergency Medicine Congress Konuşmacı Tam Metin Kitabı Kitabı, Antalya, Turkey, 16 - 19 May 2024, pp.23-24, (Summary Text)

  • Publication Type: Conference Paper / Summary Text
  • City: Antalya
  • Country: Turkey
  • Page Numbers: pp.23-24
  • Ataturk University Affiliated: Yes

Abstract

Introduction and Purpose: Acute, single-focal salivary gland swelling is most commonly associated with obstruction, often attributed to sialolithiasis (salivary gland stones). Ductal strictures are also a frequent cause of obstruction either alone or in conjunction with stones. Other common causes of acute single-focal swelling include bacterial infection and inflammation following external beam radiation. The cause (obstruction, bacterial infection, or post-radiation) can typically be determined based on clinical history and physical examination and varies in treatment approach accordingly. Materials and Methods: A 32-year-old male patient presented to our emergency department with increasing pain in the left cheek, especially after meals for the past few days, and swelling for the past day. There were no accompanying symptoms of fever, chills, sweating, or throat pain. The patient had no known medical conditions or medication use, and his vital signs were within normal limits. Upon systemic examination, tenderness was noted over the left parotid gland. Further history revealed episodic nature of these symptoms, occasional fever, bad breath, and discharge around the right cheek inside the mouth. A stone was detected in the left Stensen's duct on tomography, with preliminary diagnoses of parotid abscess and stricture