A Fish Bone in the Excretory Duct of Salivary Gland

作者：Pohmer S^*; Hertel V; Zenk J; Bozzato A

来源：Endoskopie Heute, 2012, 25(1): 36-38.

DOI：10.1055/s-0031-1283928

• salivary duct endoscopy
• endoscopic ultrasound
• salivary glands
• foreign body
• sonography

We report the case of a 65-year-old male patient with a painful submandibular swelling of the left submandibular gland for three weeks%26apos; duration. The high-resolution B scan and color Doppler sonography revealed a loosely structured and hypoechoic parenchyma with an outlined mass, located in the hilus of the gland. We performed salivary duct endoscopy of the left submandibular gland and found a foreign body in the hilus of the gland identified as a fish bone. %26lt;br%26gt;Foreign bodies are a rare cause for obstructive salivary gland disease besides sialolithiasis and duct stenosis. Our case report supports the idea that currently the combination of high-resolution B scans, color Doppler sonography and sialendoscopy for diagnostic purposes and treatment of salivary gland disorders constitutes the optimal conditions for a successful therapeutic outcome with a minimal tissue damage. It also supports the theory that salivary stones might arise from %26quot;retrograde migration%26quot; of foodstuffs from the oral cavity into the excretory duct of the salivary gland.

• 出版日期2012-3