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Case Reports
. 2016 May 3:2016:bcr2016214887.
doi: 10.1136/bcr-2016-214887.

Spontaneous cutaneous extrusion of a parotid gland sialolith

Kelly Brown  1 , Tricia Cheah  2 , Jennifer F Ha  3
Affiliations
Case Reports

Spontaneous cutaneous extrusion of a parotid gland sialolith

Kelly Brown et al. BMJ Case Rep. .

Abstract

Parotid gland sialolithiasis is an uncommon condition that can cause pain and recurrent infection in affected patients. Migration of a stone through a fistula is a rare but possible complication of untreated sialolithiasis. We present a case of parotid gland sialolithiasis in a 63-year-old woman with recurrent episodes of parotitis and facial pain, which resolved through spontaneous extrusion of the stone (11 mm) through a cutaneous fistula while awaiting surgery. Management is typically conservative or surgical, depending on the location and size of the stone, and the clinical presentation.

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Figures

Figure 1
Figure 1
Ultrasound demonstrating 11 mm calculus within the right parotid duct, causing mid to distal ductal dilation with associated oedema.
Figure 2
Figure 2
CT scan showing extruded calculus situated externally to the mid-portion of the main parotid duct.
Figure 3
Figure 3
Healing skin overlying the right parotid gland with closure of the cutaneous fistula.
See this image and copyright information in PMC

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