Location
Moultrie, GA
Start Date
7-5-2025 1:00 PM
End Date
7-5-2025 4:00 PM
Description
Submandibular masses in pediatric patients present a diagnostic challenge due to their varied etiology, including congenital, inflammatory, and neoplastic causes. Submandibular sialoadenitis is a rare but important cause of submandibular masses in pediatric patients, often presenting with localized swelling, pain, and inflammation. We report the case of a 9-year-old male who presented with progressively enlarging right-sided posterior submandibular swelling that failed outpatient therapy despite two separate urgent care visits resulting in prescription for augmentin and two separate diagnoses; otitis media and parotitis. At Colquitt Regional Medical Center Emergency Department US and CT imaging studies were performed which supported a diagnosis of sialoadenitis, though fine-needle aspiration was not performed. The patient was successfully treated with clindamycin and corticosteroids, resulting in improvement of symptoms without the need for surgical intervention. This case underscores the importance of clinical evaluation and early intervention in pediatric sialoadenitis and highlights the difficulty in distinguishing submandibular masses based on clinical and radiologic findings alone.
Embargo Period
6-3-2025
Included in
Submandibular Masses in Pediatric Patients: A Case Report
Moultrie, GA
Submandibular masses in pediatric patients present a diagnostic challenge due to their varied etiology, including congenital, inflammatory, and neoplastic causes. Submandibular sialoadenitis is a rare but important cause of submandibular masses in pediatric patients, often presenting with localized swelling, pain, and inflammation. We report the case of a 9-year-old male who presented with progressively enlarging right-sided posterior submandibular swelling that failed outpatient therapy despite two separate urgent care visits resulting in prescription for augmentin and two separate diagnoses; otitis media and parotitis. At Colquitt Regional Medical Center Emergency Department US and CT imaging studies were performed which supported a diagnosis of sialoadenitis, though fine-needle aspiration was not performed. The patient was successfully treated with clindamycin and corticosteroids, resulting in improvement of symptoms without the need for surgical intervention. This case underscores the importance of clinical evaluation and early intervention in pediatric sialoadenitis and highlights the difficulty in distinguishing submandibular masses based on clinical and radiologic findings alone.