| Autor: |
Moisa SM; Department of Mother and Child Medicine-Pediatrics, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania., Andrei N; Department of Dentoalveolar and Maxillofacial Surgery, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania., Balcan RD; 'Sfanta Maria' Clinical Emergency Hospital, 700115 Iasi, Romania., Miron I; Department of Mother and Child Medicine-Pediatrics, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania., Țarcă E; Department of Surgery II-Pediatric Surgery, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania., Butnariu L; Department of Mother and Child Medicine-Genetics, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania., Cojocaru E; Department of Morphofunctional Sciences I-Pathology, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania., Leon-Constantin MM; Medical I Department, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania., Budacu CC; Department of Dentoalveolar and Maxillofacial Surgery, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania., Trandafir LM; Department of Mother and Child Medicine-Pediatrics, 'Grigore T. Popa' University of Medicine and Pharmacy, 700115 Iasi, Romania. |
| Abstrakt: |
Pediatric sialolithiasis is a rare condition causing tumefaction, induration, redness, and pain of the affected gland. When the submandibular gland is involved, the lesion can be mistaken for an adenopathy. As there are few studies to elucidate this condition in children, we present a rare case of a 16-year-old female with suggestive symptoms, in which initial clinical examination and two ultrasound examinations mistook the lesion for an adenopathy. A computed tomography examination was performed and the correct diagnosis was established. The patient was sent for oro-maxilo-facial examination and sialolithotomy was performed. A 10-mm yellow calculus was extracted and postoperative case evolution was favorable under wide spectrum antibiotherapy, oral nonsteroidal anti-inflammatory therapy and silagog alimentation. Although submandibular adenopathies are much more frequent in the pediatric age group, when faced with a firm, immobile submandibular lesion, the pediatrician should consider the sialolithiasis diagnosis. |
