Multiple Faces of Cervical Lesions in Children

Pediatric sialolithiasis is a rare condition causing tumefaction, induration, redness, and pain of the affected gland. When the submandibular gland is involved, the lesion can be mistaken for an adenopathy. As there are few studies to elucidate this condition in children, we present a rare case of a...

Full description

Bibliographic Details
Main Authors: Stefana Maria Moisa, Nicolau Andrei, Raluca-Daniela Balcan, Ingrith Miron, Elena Țarcă, Lăcrămioara Butnariu, Elena Cojocaru, Maria Magdalena Leon-Constantin, Cristian Constantin Budacu, Laura Mihaela Trandafir
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/4/792
_version_ 1797436145224646656
author Stefana Maria Moisa
Nicolau Andrei
Raluca-Daniela Balcan
Ingrith Miron
Elena Țarcă
Lăcrămioara Butnariu
Elena Cojocaru
Maria Magdalena Leon-Constantin
Cristian Constantin Budacu
Laura Mihaela Trandafir
author_facet Stefana Maria Moisa
Nicolau Andrei
Raluca-Daniela Balcan
Ingrith Miron
Elena Țarcă
Lăcrămioara Butnariu
Elena Cojocaru
Maria Magdalena Leon-Constantin
Cristian Constantin Budacu
Laura Mihaela Trandafir
author_sort Stefana Maria Moisa
collection DOAJ
description Pediatric sialolithiasis is a rare condition causing tumefaction, induration, redness, and pain of the affected gland. When the submandibular gland is involved, the lesion can be mistaken for an adenopathy. As there are few studies to elucidate this condition in children, we present a rare case of a 16-year-old female with suggestive symptoms, in which initial clinical examination and two ultrasound examinations mistook the lesion for an adenopathy. A computed tomography examination was performed and the correct diagnosis was established. The patient was sent for oro-maxilo-facial examination and sialolithotomy was performed. A 10-mm yellow calculus was extracted and postoperative case evolution was favorable under wide spectrum antibiotherapy, oral nonsteroidal anti-inflammatory therapy and silagog alimentation. Although submandibular adenopathies are much more frequent in the pediatric age group, when faced with a firm, immobile submandibular lesion, the pediatrician should consider the sialolithiasis diagnosis.
first_indexed 2024-03-09T10:58:21Z
format Article
id doaj.art-85de2f344dfa432895bc350577f644a2
institution Directory Open Access Journal
issn 2075-4418
language English
last_indexed 2024-03-09T10:58:21Z
publishDate 2022-03-01
publisher MDPI AG
record_format Article
series Diagnostics
spelling doaj.art-85de2f344dfa432895bc350577f644a22023-12-01T01:29:28ZengMDPI AGDiagnostics2075-44182022-03-0112479210.3390/diagnostics12040792Multiple Faces of Cervical Lesions in ChildrenStefana Maria Moisa0Nicolau Andrei1Raluca-Daniela Balcan2Ingrith Miron3Elena Țarcă4Lăcrămioara Butnariu5Elena Cojocaru6Maria Magdalena Leon-Constantin7Cristian Constantin Budacu8Laura Mihaela Trandafir9Department of Mother and Child Medicine–Pediatrics, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Dentoalveolar and Maxillofacial Surgery, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania“Sfanta Maria” Clinical Emergency Hospital, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine–Pediatrics, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Surgery II-Pediatric Surgery, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine–Genetics, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Morphofunctional Sciences I—Pathology, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaMedical I Department, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Dentoalveolar and Maxillofacial Surgery, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine–Pediatrics, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaPediatric sialolithiasis is a rare condition causing tumefaction, induration, redness, and pain of the affected gland. When the submandibular gland is involved, the lesion can be mistaken for an adenopathy. As there are few studies to elucidate this condition in children, we present a rare case of a 16-year-old female with suggestive symptoms, in which initial clinical examination and two ultrasound examinations mistook the lesion for an adenopathy. A computed tomography examination was performed and the correct diagnosis was established. The patient was sent for oro-maxilo-facial examination and sialolithotomy was performed. A 10-mm yellow calculus was extracted and postoperative case evolution was favorable under wide spectrum antibiotherapy, oral nonsteroidal anti-inflammatory therapy and silagog alimentation. Although submandibular adenopathies are much more frequent in the pediatric age group, when faced with a firm, immobile submandibular lesion, the pediatrician should consider the sialolithiasis diagnosis.https://www.mdpi.com/2075-4418/12/4/792adenopathysialadenitissialolithiasischild
spellingShingle Stefana Maria Moisa
Nicolau Andrei
Raluca-Daniela Balcan
Ingrith Miron
Elena Țarcă
Lăcrămioara Butnariu
Elena Cojocaru
Maria Magdalena Leon-Constantin
Cristian Constantin Budacu
Laura Mihaela Trandafir
Multiple Faces of Cervical Lesions in Children
Diagnostics
adenopathy
sialadenitis
sialolithiasis
child
title Multiple Faces of Cervical Lesions in Children
title_full Multiple Faces of Cervical Lesions in Children
title_fullStr Multiple Faces of Cervical Lesions in Children
title_full_unstemmed Multiple Faces of Cervical Lesions in Children
title_short Multiple Faces of Cervical Lesions in Children
title_sort multiple faces of cervical lesions in children
topic adenopathy
sialadenitis
sialolithiasis
child
url https://www.mdpi.com/2075-4418/12/4/792
work_keys_str_mv AT stefanamariamoisa multiplefacesofcervicallesionsinchildren
AT nicolauandrei multiplefacesofcervicallesionsinchildren
AT ralucadanielabalcan multiplefacesofcervicallesionsinchildren
AT ingrithmiron multiplefacesofcervicallesionsinchildren
AT elenatarca multiplefacesofcervicallesionsinchildren
AT lacramioarabutnariu multiplefacesofcervicallesionsinchildren
AT elenacojocaru multiplefacesofcervicallesionsinchildren
AT mariamagdalenaleonconstantin multiplefacesofcervicallesionsinchildren
AT cristianconstantinbudacu multiplefacesofcervicallesionsinchildren
AT lauramihaelatrandafir multiplefacesofcervicallesionsinchildren