Rare coexistence of sialolithiasis and actinomycosis in the submandibular gland

Abstract:

Sialolithiasis is a condition characterized by the obstruction of salivary gland or its excretory duct by a calculus or sialolith. This condition provokes swelling, pain, and infection of affected gland leading to salivary ectasia and even causing the subsequent dilatation of the salivary gland. The aim of this case report is to present a rare condition of sialolithiasis of the submandibular gland with actinomycosis. In this report, we presented a 35- year-old male patient having coexistence of submandibular sialolithiasis and actinomycosis with a literature review. Patient underwent excision of the right submandibular gland due to siaololithiasis. Pathologic examination revealed chronic sialadenitis, sialolithiasis, actinomyces which all necessitate the excision of right submandibular gland with stones with 1.5 cm in diameter. It should be keep in mind that sialolithiasis may be a predisposing factor for submandibular actinomycosis and removal of the sialolith or the entire gland is of particular importance.