Skip to Main Content

++

1. Acute bacterial sialadenitis

++
Figure 31-1

Acute bacterial sialadenitis.

CT shows marked enlargement of the left parotid gland (arrow). There is abnormal increased attenuation, such that the inflamed parotid gland is nearly isoattenuating to the adjacent masseter muscle.

Graphic Jump Location
++

2. Acute bacterial sialadenitis

++
Figure 31-2

Acute bacterial sialadenitis.

The right parotid gland is enlarged on this contrast-enhanced CT of a 4-year-old child with a 2-day history of right cheek swelling, pain, and fever. There is prominent contrast enhancement. Scattered microabscesses appear as hypoattenuating foci. There are slightly enlarged lymph nodes dorsal to the infected parotid gland.

Graphic Jump Location
++

3. Recurrent parotitis

++
Figure 31-3

Recurrent parotitis.

Sialography of a 5-year-old child with recurrent episodes of parotid gland swelling and pain shows multiple small contrast filled cavities within the gland, that is, sialectasis. The ducts are normal in caliber.

Graphic Jump Location
++

4. Recurrent parotitis of childhood

++
Figure 31-4

Recurrent parotitis of childhood.

Sonography of a 5-year-old child during an episode of acute symptoms shows multiple hypoechoic foci in an enlarged left parotid gland.

Graphic Jump Location
++

5. Recurrent parotitis

++
Figure 31-5

Recurrent parotitis.

Contrast-enhanced CT shows enlargement and prominent, heterogeneous enhancement of the right parotid gland. There is no abscess or ductal dilation.

Graphic Jump Location
++

6. Sialectasis

++
Figure 31-6

Sialectasis.

Parotid gland sialography demonstrates multiple small globular contrast collections within the gland. The peripheral ducts are irregular and thin. The Stensen duct is normal.

Graphic Jump Location
++

7. Sialolithiasis

++
Figure 31-7

Sialolithiasis.

A lateral radiograph of a 10-year-old child demonstrates a small oval submandibular calculus (arrow).

Graphic Jump Location
++

8. Sialolithiasis

++
Figure 31-8

Sialolithiasis.

There is a small round calculus (arrow) in the right submandibular gland of an asymptomatic 15-year-old.

Graphic Jump Location
++

9. Parotid gland air insufflation

++
Figure 31-9

Parotid gland air insufflation.

This is a teenager with a history of episodic nonpainful cheek swelling. There is air in the parotid gland ducts on this contrast-enhanced CT image obtained while the patient closed his lips and blew air into the buccal spaces.

Graphic Jump Location

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessPediatrics Full Site: One-Year Subscription

Connect to the full suite of AccessPediatrics content and resources including 20+ textbooks such as Rudolph’s Pediatrics and The Pediatric Practice series, high-quality procedural videos, images, and animations, interactive board review, an integrated pediatric drug database, and more.

$595 USD
Buy Now

Pay Per View: Timed Access to all of AccessPediatrics

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.