CTにて石灰化陰影を呈した線維素性唾液管炎の2例

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タイトル別名
  • Two Cases of Sialodochitis Fibrinosa Accompanied by Calcification on CT
  • 臨床 CTにて石灰化陰影を呈した線維素性唾液管炎の2例
  • リンショウ CT ニテ セッカイカ インエイ オ テイシタ センイ スジョウ ダエキカンエン ノ 2レイ

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<p>Sialodochitis fibrinosa is a rare disorder characterized by repetitive swelling of the salivary gland resulting from obstructive changes of the salivary duct caused by the presence of fibrinous plugs. We report two cases of sialodochitis fibrinosa in which CT revealed a calcified shadow in the salivary gland. Both cases presented with recurrent swelling of the salivary gland and were initially diagnosed, based on the CT findings, as having sialolithiasis. However, after a long duration of follow-up, fibrinous plugs were detected in the salivary duct, with eosinophilic infiltration. Based on the above findings, we made the definitive diagnosis of sialodochitis fibrinosa. The patients’ symptoms were successfully controlled by the administration of antiallergic drugs. We should bear in mind the possibility of sialodochitis fibrinosa during the management of sialolithiasis, especially in cases without salivary colic.</p>

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