Nigerian Journal of Surgery

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An Unusually Large Submandibular Gland Stone. A Case Report.

CD Emegoakor, GU Chianakwana, MC Ugonabo, CI Madubogwu, IBC Iloabachie, ACO Akam


A Case of 65 year old man that presented with 40 years history of right lower jaw swelling, that became associated with pain two weeks prior to presentation. Examination revealed an elderly man with an enlarged tender right submandibular gland. The medial margin was suppurating. X-ray of the right lower jaw revealed large stone, while ultrasound scan of the right submandibular region revealed an associated abscess. The latter was incised and drained, while excision of the right submandibular gland and calculus was carried out three weeks later. 5.0cm - sized stone was excised. This turned out to be the second largest salivary gland stone recorded in literature. Conclusion Giant salivary gland stone which ( greater than 1.5cm) is rare. To the best of our knowledge, our index patient with a calculus measuring 5.0 x 3.0cm is the second largest stone in literature is remarkable KeyWords: Giant Salivary Gland Stone, Submandibular Gland
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