2021 Volume 37 Issue 2 Pages 166-170
Sialolithiasis commonly occurs unilaterally, in the submandibular gland and duct of adults, causing transient swelling and pain in the salivary gland during eating. A 13-year-old girl presented with swelling, redness, and pain on her right cheek. Computed tomography (CT) showed bilateral parotid sialolithiasis with right suppurative parotitis. The inflammation spread from the right parotid duct to parotid gland due to the right stone blocking the duct at the distal end. Intravenous antibiotic therapy, bougie insertion, and salivary gland massage were administered. She recovered immediately; however, we continue to observe subclinical sialoliths in the bilateral parotid glands. Although sialolithiasis is uncommon in children, we must be aware of salivary stones when a patient shows swelling and pain of the salivary gland that is not only transient during eating, but also occurs continuously.
