A giant sialolith in a 16-year-old boy presenting to the emergency room

A 16-year-old boy presented to the emergency department with a yellowish longitudinal protrusion in the floor of his mouth (figure 1). He reported mild pain in the submandibular area postcibum without significant swelling during the last year. He did not have any other significant past medical history. Physical exam revealed a calculus in the floor of the mouth measuring 17×3×3 mm …