Rationale:
The aim of this work is to describe the case of a large abscess associated with a sialolith in the parotid duct.
Patient concerns:
Patient's concern is evident in this pathology, because infection untreated or rapidly spreading infections can be potentially life-threatening secondary to airway compromise or septicemia.
Diagnosis:
Clinical examination, ultrasonography of the region, and cone beam computed tomography were requested to confirm the diagnosis of a sialolith associated with a large abscess.
Treatment:
Antibiotic therapy with extraoral drainage was performed. After remission of the infection, the stone was located, removed, and the edges sutured.
Outcomes:
The patient was followed for 6 months. There was a minimal scar without any other noteworthy change.
Take-away lessons:
The pathological changes involving the salivary glands are extremely important for diagnosis and treatment plan.