Unusual Foreign Body of Parotid Gland Presenting as Sialolithiasis: Case Report and Literature Review

Abstract

This case report highlights an unusual case where a foreign body in the parotid gland was initially thought to be sialolithiasis based on CT scans. The foreign body was safely retrieved from the parotid gland without formal superficial parotidectomy using methylene blue and an image intensifier to localize the lesion. Diagnosis and management of foreign bodies in the parotid gland are reviewed, and surgical options in removal of such lesions are discussed.

Chronic Discharging Sinus in the Parotid: Are we Missing Something?

“…3,4 The history of the object's entry often remains obscure or forgotten. 3,5 This could be because the injury leading to its entry might be trivial, and the subject might ignore or remain unaware of such an event. 5 In our patient, the chronicity of the discharging sinus and history of pulmonary tuberculosis initially led us to consider a chronic granulomatous lesion.…”

Foreign Body Retrograde Migration to the Intraglandular Duct of the Submandibular Gland with a Developing of Foreign Body-induced Sialolithiasis: Analysis of Ultrasonography, Surgery, and Literature Published during Last 124 Years

“…Case studies indicate that foreign bodies can also penetrate parotid gland ducts without 12 or with development of foreign body-induced sialolith 13 .…”

Oropharyngeal trauma mimicking a first branchial cleft anomaly

“…Most are detected early due to imaging. However, misdiagnoses and failures to recognize retained oropharyngeal foreign bodies have rarely been reported because they are low on the differential diagnosis due to the incidence of the presentation of congenital anomalies in the pediatric age group, particularly when the history of the trauma is beyond recollection …”

“…However, misdiagnoses and failures to recognize retained oropharyngeal foreign bodies have rarely been reported because they are low on the differential diagnosis due to the incidence of the presentation of congenital anomalies in the pediatric age group, particularly when the history of the trauma is beyond recollection. 6 Ultrasonography may and preferably should serve as a good first-line investigative modality, followed by the more expensive magnetic resonance imaging (MRI) due to the abilities of these imaging modalities to identify radiolucent and radiopaque objects lodged in the soft tissues. 7 There is no denying that CT scan can also elucidate wooden or radiolucent foreign bodies.…”