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Multiple parotid calculi: a rare case presentation




The aim of this study was to present a rare case of multiple parotid calculi (intraglandular and intraductal).

Case presentation

Here, we report the case of a 35-year-old man presenting with recurrent painful swelling over the left parotid region.


Total conservative parotidectomy was performed.


The patient was completely symptom free postoperatively and there was no complication.


Management of multiple intraparenchymal and intraductal parotid calculi is not straightforward. Parotidectomy may be required in some selected cases.


  1. 1

    Rauch S, Gorlin RJ. Diseases of the salivary glands. In: Gorlin RJ, Goldman HM, editors. Thoma’s oral pathology. 6th ed. St Louis: Mosby; 1970:997–1003.

    Google Scholar 

  2. 2

    Ellis GL, Auclair PL, Gnepp DR. Surgical pathology of the salivary glands. Philadelphia: W.B. Saunders Company; 1991.

    Google Scholar 

  3. 3

    Williams MF. Sialolithisis. Otolaryngologic Clinics of North America 1999; 32: 819–834.

    CAS  Article  Google Scholar 

  4. 4

    Lustmann J, Regev E, Melamed Y. Sialolithiasis. A survey on 245 patients and a review of the literature. Int J Oral Maxillofac Surg 1990;19(3):135–138.

    CAS  Article  Google Scholar 

  5. 5

    Levy DM, Remine WH, Devine KD. Salivary gland calculi. Pain, swelling associated with eating. JAMA 1962; 181: 1115–1119.

    CAS  Article  Google Scholar 

  6. 6

    Ottaviani F, Galli A, Lucia MB, Ventura G. Bilateral parotid sialolithiasis in a patient with acquired immunodeficiency syndrome and immunoglobulin G multiple myeloma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;83(5):552–554.

    CAS  Article  Google Scholar 

  7. 7

    Elmostehy MR. Parotid salivary calculus. Report of a case. Oral Surg Oral Med Oral Pathol 1968;26(1):18–21.

    CAS  Article  Google Scholar 

  8. 8

    Seifert G, Miehlke A, Haubrich J, Chilia R. Diseases of the salivary glands: pathology, diagnosis, treatment, facial nerve surgery. Stuttgart: Georg Thieme Verlag; 1986:85–90.

    Google Scholar 

  9. 9

    Bullock KN. Parotid and submandibular duct calculi in three successive generations of one family. Postgrad Med J 1982;58(675):35–36.

    CAS  Article  Google Scholar 

  10. 10

    Pickrell KL, Trought WS, Shearin JC. The use of ultrasound to localize calculi within the parotid gland. Ann Plast Surg 1978;1(6):542–546.

    CAS  Article  Google Scholar 

  11. 11

    Suleiman SI, Thomson JP, Hobsley M. Recurrent unilateral swelling of the parotid gland. Gut 1979;20(12):1102–1108.

    CAS  Article  Google Scholar 

  12. 12

    Seward GR. Anatomic surgery for salivary calculi. VI. Calculi in the intraglandular part of the parotid duct. Oral Surg Oral Med Oral Pathol 1968;26(1):1–7.

    CAS  Article  Google Scholar 

  13. 13

    Kulkens C, Quetz JU, Lippert BM, Folz BJ, Werner JA. Ultrasound-guided piezoelectric extracorporeal shock wave lithotripsy of parotid gland calculi. J Clin Ultrasound 2001;29(7):389–394.

    CAS  Article  Google Scholar 

  14. 14

    Ottaviani F, Capaccio P, Rivolta R, Cosmacini P, Pignataro L, Castagnone D. Salivary gland stones: US evaluation in shock wave lithotripsy. Radiology 1997;204(2):437–441.

    CAS  Article  Google Scholar 

  15. 15

    Patey DH. The clinical features and diagnosis of parotid calculi. Practitioner 1966;197(177):67–69.

    CAS  PubMed  Google Scholar 

Download references

Author information



Corresponding author

Correspondence to Avishek Palai MS (ENT).

Additional information

This study was presented as a poster presentation in the Association of Otorhinolaryngology of India, West Bengal Chapter in Jalpaiguri on 13 December 2013.

Conflicts of interest

There are no conflicts of interest.

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Palai, A., Sen, S. & Saha, S. Multiple parotid calculi: a rare case presentation. Egypt J Otolaryngol 32, 240–242 (2016).

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  • intraparenchymal
  • multiple parotid calculi
  • parotidectomy