ANAMNESIS / SYMPTOMS:
A 50 year old patient complains about recurrent swellings in the region of the left submandibular gland that typically occur postprandial.


FINDINGS:
On the floor of the mouth lying on the mylohyoid muscle a hyperechoic reflection with clearly visible distal signal extinction is recognizeable. Lateral of the reflection the hypoechoic changed submandibular gland is visible.


DIAGNOSIS:
The patient suffers from a sialolithiasis of the distal part of the left Wharton´s duct.



Informations on the internet:

1) Amersham Health
2) Medecoinfo
3) Pathologie Online
4) MRX.de