Sengupta Shreya, Bose Sayantan
10, Baroda Avenue, Baishnabghata, Kolkata, 700084 India.
Kolkata, India.
Indian J Surg. 2018 Apr;80(2):190-191. doi: 10.1007/s12262-018-1723-6. Epub 2018 Feb 5.
We present a case of a 35-year-old gentleman with a submandibular duct stone measuring 12 × 6 mm. Considering the literature, most stones are less than 5 mm, and stones more than 10 mm are quite unusual. This gentleman had typical symptoms of chronic sialadenitis, who was clinically diagnosed to have sialolithiasis, which was later confirmed by imaging studies. He was operated upon to remove the stone along with the submandibular gland. The term sialolithiasis is derived from the Greek words (saliva) and (stone), and the Latin meaning "process" or "morbid condition". Sialolithiasis affects the submandibular gland in 80-90% of cases because of the curved course of submandibular duct and the secretions being more mucous. Pain is the most common presenting feature during mastication and surgical removal of the sialolithiasis is the treatment of choice. The incision depends on the location of the stone in the duct.
我们报告一例35岁男性患者，其下颌下腺导管结石大小为12×6毫米。根据文献，大多数结石小于5毫米，大于10毫米的结石相当少见。该患者有慢性涎腺炎的典型症状，临床诊断为涎石病，后来经影像学检查得以证实。他接受了手术，切除结石及下颌下腺。涎石病一词源于希腊语（唾液）和（结石），以及拉丁语，意为“过程”或“病态”。由于下颌下腺导管走行弯曲且分泌物更黏稠，80%至90%的涎石病病例累及下颌下腺。疼痛是咀嚼时最常见的表现特征，手术切除涎石病是首选治疗方法。切口取决于结石在导管中的位置。
