Sialolithiasis, the most common salivary gland disease, is a condition in which a calculus forms in the gland, most often the Wharton’s duct. Rarely, these calculi can reach several centimeters in size, and have been described as giant sialoliths in the literature. Patients diagnosed with small sialoliths can undergo conventional treatment, but those with larger sialoliths require a sialolithotomy or resection of the entire gland. The management of a salivary gland sialolith depends on its location, size, and the surgeon’s experience. Presently described is a case of a giant sialolith located at the proximal part of the Wharton’s duct near the hilum of the left submandibular gland, its surgical management, and a review of the current literature. To the best of our knowledge, no similar case has been reported before in the literature and this is the first case of a giant calculus in the proximal submandibular duct to be reported in the author’s country of origin.
Corresponding Author: Hamzan M.