Unusually large sialolith of the Wharton’s duct : A case report

The estimated frequency of occurrence of sialoliths is 1.2%. They are frequently formed in the submandibular gland. They are commonly less than 10 mm in size and rarely larger than 15 mm. We are presenting here such a rare case of Unusually large sialolith of the Wharton’s duct in 50 years female who presented to ENT OPD with complaint of swelling, pain and pus discharge from the left floor of the mouth and enlarged left submandibular gland. On clinical examination a tender hard mass was palpable along the left Wharton’s duct. As a part of evaluation protocol, Neck ultrasound was done which revealed left submandibular duct stone confirmed by a CT Scan. Sialolith was removed trans-orally under local anaesthesia. Sialolith measured 20x6 mm. The patient had smooth recovery with no complication in follow up.