A Rare Case Report of Large Submandibular Duct Calculus

Salivary stone disease is the most common disease of the salivary glands. They may occur in any of the salivary gland ducts/ glands, but are most common in the submandibular gland, the reason being submandibular secretions are rich in mucus and are secreted against gravity. This report presents clinical and radiographical signs of a large ductal sialolith. Radiographical examination revealed large elongated ovoid radioopaque lesion on left side of floor of the oral cavity. MDCT confirmed the radiographical finding and further revealed atrophied sub mandibular gland. Surgery confirmed the radiological findings of a large sialolith which was further proved on HPE as calcium containing stone.