Huge Submandibular Gland Calculus in Port Harcourt: A Case Report


  • Okechi Chibuzo Mbalaso University of Port Harcourt Teaching Hospital
  • Augustine Chukwuemeka Nwogbo University of Port Harcourt Teaching Hospital
  • Ndubuisi Sunny Uyanwanne University of Port Harcourt Teaching Hospital


Sialolithiasis, Huge Submandibular Calculus.


Introduction: Sialolithiasis is one of the common diseases of the salivary glands most commonly affecting the submandibular gland. This report describes the case of a patient with an unusually large submandibular gland calculus (approximately 40mm x 25mm) and the management challenges encountered.

Case Summary: A 45 year old male who presented to the Accident and Emergency department of the University of Port Harcourt Teaching Hospital with a history of swelling in the right submandibular region of 9 years duration, severe pains of 5 days duration and purulent discharge of 1 day duration. Swelling was said to intermittently wax and wane over the past 9 years usually following meals.

A clinical diagnosis of Right Submandibular Abscess secondary to Right Submandibular Sialolithiasis was made, incision and drainage of the abscess done, oral antibiotics and analgesics prescribed. Following resolution of the abscess, radiological investigations were done which confirmed the diagnosis of a Right Submandibular Sialolithiasis.

He had a right submandibular gland excision done 3 weeks later with delivery of a calculus measuring 40mmx25mm following difficult dissection.

Conclusion: Surgical dissection of a huge submandibular gland with the stone en-bloc can be challenging and puts the surrounding structures at risk. An alternative technique as presented in this report is to first deliver the stone from within the gland and subsequently dissect out the gland.

Author Biographies

Okechi Chibuzo Mbalaso, University of Port Harcourt Teaching Hospital

Senior Registrar

ENT Surgery Department

Augustine Chukwuemeka Nwogbo, University of Port Harcourt Teaching Hospital

Consultant ENT Surgeon

ENT Surgery Department


. Porter S, Non-neoplastic salivary gland diseases. In: Scott Brown’s Otorhinolaryngology, Head and Neck surgery Seventh ed. Hodder Arnold; 2008 P. 1904-1906.

. Arrieta AJ, McCaffrey TV, Inflammatory disorders of the salivary glands. In: Cummings Otolaryngology, Head and Neck Surgery, Fourth ed. Elsevier Mosby; 2005, P. 1328-1330.

. Fefar AD, Jivani PS, Mehta MR, Khavdu PJ, Mistry SN, Dodia MN. A huge salivary calculi of the submandibular gland: a case report with the review of literature. J Med Res. 2015;1(1):5-7.

. Ledesma-Montes C, Garces Ortiz, Salcido Garcia J, Hernandez Flores F, Hermandez-Geurrero H, Giant Sialolith, Case report and review of literature. J Oral Maxillofac surg. 2007;65:128-30.

. Lustman J, Regev E, Melamed Y. Sialothiasis: a survey on 245 patients and review of the literature. Int J Oral MaxillofacSurg 1990;19:135-8.

. Gupta A, Rattan D, Gupta R. Giant sialoliths of submandibular gland duct: Report of two cases with unusual shape. ContempClin Dent 2013; 4:78-80.

. Kandel S, Pandey BR, Poudel P. Submandibular gland sialolith of unusual size. Journal of Lumbini Medical College. 2017 Jul 22;5(2):74-6.

. Buch B, Machaka M, Mabongo M. Submandibular calcification: A report on two cases and a review. South African Dental Journal. 2016 Oct;71(9):415-7.

. Novendra BP, Rahardjo, Rahajoe PS. 2018. Sialolithotomy and sialodochoplasty of giant sialolith in the submandibular duct: a case report. Journal of Dentomaxillofacial Science 3(1): 119-122

. Preuss SF, Klussmann JP, Wittekindt C, Drebber U, Beutner D, Guntinas-Lichius O. Submandibular gland excision: 15 years of experience. Journal of oral and maxillofacial surgery. 2007 May 1;65(5):953-7.

. Hernando M, Echarri RM, Taha M, Martin-Fragueiro L, Hernando A, Mayor GP. Surgical complications of submandibular gland excision. Acta Otorrinolaringologica (English Edition). 2012 Jan 1;63(1):42-6.




How to Cite

Mbalaso, O. C., Nwogbo, A. C., & Uyanwanne, N. S. (2020). Huge Submandibular Gland Calculus in Port Harcourt: A Case Report. The Nigerian Health Journal, 18(4), 172–175. Retrieved from



Case Report and Series

Similar Articles

You may also start an advanced similarity search for this article.