May 14

 HX: A 30y woman with left submandibular gland

 enlargement  and pain.

Findings: Large dense stone in left submandibular region ,

enlarged submandibular gland with dilated duct.

Diagnosis : Stone in Wharton’s duct, sialadenitis.  

Discussion:Sialolithiasis is most common disease of salivary

 gland , twice as

common in males as females , 80-95% occur in

submandibular gland or duct , stones are most common

cause of acute and chronic infection of salivary gland .