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C-2744 - Sialodochitis fibrinosa (Kussmaul disease): a rare disease with characteristic imaging findings

M. Escribano, B. Brea, T. DE LAS HERAS, I. Rodriguez, Y. Cepeda, J. ESCARTIN, G. Martinelli; Madrid/ES Type: Scientific Exhibit
Area of Interests: Ear / Nose / Throat, Head and neck, Salivary glands
Imaging Technique: MR
Procedure: Sialography
Special Focuses: Inflammation, Dilatation
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Aims and objectives: Sialodochitisfibrinosa (or commonly known as Kussmaul Disease) is a rare disease characterized by recurrent salivary gland swelling and pain as a result of the formation of mucofibrinous plugs. Diagnosis of this pathology is difficult and may be easily confused with either acute inflammatory disorde[...]

Methods and materials: Four patients with sialodochitis fibrinosa consulting in a third level hospital were evaluated during the period of 2008 to 2016, of whom their sociodemographic characteristics, clinical presentations, study imaging findings and cytological findings were described. Subsequently, a thorough lite[...]

Results: Swelling of the salivary glands is a relatively common symptom which can be caused by several different processes whether inflammatory or non-inflammatory. Among the differential diagnosis of parotid swelling, it is important to rule out secondary and systemic causes, one of them being  sialodo[...]

Conclusion: Sialodochitis fibrinosa was first described in 1879 by Kussmaul as pain and diffuse swelling of the parotid and/or submandibular glands caused by the obstruction of the salivary ducts by mucofibrinous plugs. Although diagnostic criteria has not been defined, the typical findings of de[...]

Personal information:

References: 1. Kussmal I. Recurrent salivary gland tumor due to chronic fibrotic inflammation of the Stensen’s ducts (Anfallsweise auftertende Speichelgeschwulst in Folge von chronischer eitrig-fibrinöser Entzündung des Stenonschen Ganges). Berlin Klin Wschr. 1879; 15: 209-2011. Article in German.   2. Ray[...]

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