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Chronic sialadenitis due to the stone inside the accessory duct of submandibular gland

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Abstract

Purpose

Sialolithiasis is the most common cause of chronic sialadenitis. In this case report, intraoperative finding of an accessory submandibular duct, obstructed with stone, originating from the same gland nearby the main Warthon’s duct, is presented.

Case report

A 22-year-old male patient, suffering from eating-related pain and swelling in his left submandibular region, was diagnosed with left sublandibular gland sialadenitis with radiologically manifested sialolithiasis, and gland excision was advised. Surgery was performed under general anesthesia. When the full anatomical scenery was delineated before excision of the gland, we surprisingly encountered two submandibular ducts originating from ipsilateral gland, one of them was obstructed with stone. After two ducts were ligated, the gland with sialolith was excised. According to histopathologic examination, the duct obstructed with stone was identified as the accessory duct and the other one was the main Wharton’s duct. Postoperative days were uneventful; no neurologic complication was observed.

Conclusions

Otolaryngologists should be aware of anatomic variations of the submandibular duct(s) to avoid possible complications, especially intraoperatively, because rutine preoperative radiologic preparation does not include investigation of possible accessory ducts.

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Author contributions

Each of the authors has contributed to read and approve this manuscript. This manuscript is original and it, or any part of it, has not been previously published; nor is it under consideration for publication elsewhere.

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Authors and Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery, Gulhane Medical School, Etlik, 06018, Kecioren, Ankara, Turkey

    Murat Binar, Mert Cemal Gokgoz, Umit Aydin & Serdar Karahatay

  2. Department of Pathology, Gulhane Medical School, Ankara, Turkey

    Ibrahim Yavan

Authors
  1. Murat Binar
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  2. Mert Cemal Gokgoz
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  3. Umit Aydin
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  4. Ibrahim Yavan
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  5. Serdar Karahatay
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Corresponding author

Correspondence to Murat Binar.

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None of the authors has any conflict of interest, financial or otherwise.

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No funding was received from any organization for this article.

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Binar, M., Gokgoz, M.C., Aydin, U. et al. Chronic sialadenitis due to the stone inside the accessory duct of submandibular gland. Surg Radiol Anat 39, 1165–1168 (2017). https://doi.org/10.1007/s00276-017-1850-y

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  • DOI: https://doi.org/10.1007/s00276-017-1850-y

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