Unusual foreign body spontaneously discharged from the submandibular gland: A case report

J Clin Ultrasound. 2022 Feb;50(2):243-246. doi: 10.1002/jcu.23045. Epub 2021 Jul 20.

Abstract

Obstructive sialadenitis of the submandibular gland is most often caused by sialolithiasis and rarely by a foreign body. Here, we describe a patient with acute submandibular inflammation caused by a bamboo splinter. Transcutaneous and transoral ultrasound precisely located the splinter within Wharton's duct. Shortly thereafter, the bamboo splinter was spontaneously discharged while eating, which allowed complete remission of pain and swelling. Ultrasound confirmed the absence of the foreign body within Wharton's duct and relief of sialadenitis. Combined use of transcutaneous and transoral ultrasound can provide detailed information regarding the submandibular gland and foreign bodies, which enables proper treatment planning and adequate follow-up.

Keywords: foreign body; submandibular gland; transoral sonography; ultrasonography.

Publication types

  • Case Reports

MeSH terms

  • Foreign Bodies* / diagnostic imaging
  • Humans
  • Salivary Ducts
  • Salivary Gland Calculi*
  • Sialadenitis*
  • Submandibular Gland / diagnostic imaging
  • Submandibular Gland Diseases* / diagnostic imaging