Asymptomatic foreign body spontaneously discharged from Wharton’s duct: a case report
Emerson Kennedy Ribeiro de Andrade Filho, Thiago Câmara de Souza Barbalho, Sheila Ramos de Miranda Henriques, Marina Mayara Batista do Rêgo
Abstract
Some situations can lead to obstruction of Wharton’s duct. Obstructions are usually due to endogenous causes, such as calculi, fibromucinous plugs, stenosis, and malformations of the duct system; however, in rare situations, obstructions can also have exogenous causes, such as foreign bodies. The tortuous anatomy of Wharton’s duct hinders the retrograde migration of straight-shaped foreign bodies, as well as makes their spontaneous discharge virtually impossible. Here, we report the case of a 47-year-old woman with an asymptomatic foreign body in Wharton’s duct that was spontaneously discharged.
Keywords
References
1. du Toit DF, Nortjé C. Salivary glands: applied anatomy and clinical correlates. SADJ. 2004;59(2):65-6, 69-71, 73-4. PMid:15181704.
2. Dar WQ, Nisar J, Ain Batool QU, Qazi SM. Foreign bodies of submandibular gland and Wharton’s duct: a review of literature. Int J Otorhinolaryngol Head Neck Surg. 2020;6(4):803-9. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20201305.
3. Taneja M, Taneja MK. Foreign body Wharton’s duct. Indian J Otolaryngol Head Neck Surg. 2011;63(3):300-1. http://dx.doi.org/10.1007/s12070-011-0261-3. PMid:22754817.
4. Li P, Zhu H, Huang D. Detection of a metallic foreign body in the Wharton duct: a case report. Medicine (Baltimore). 2018;97(44):e12939. http://dx.doi. org/10.1097/MD.0000000000012939. PMid:30383641.
5. Luo WD, Jia YP, Gong J, Zhao Q. Unusual foreign body spontaneously discharged from the submandibular gland: a case report. J Clin Ultrasound. 2022;50(2):243-6. http://dx.doi.org/10.1002/jcu.23045. PMid:34287914.
6. Walker EA Jr. Foreign body in Wharton’s duct. Arch Otolaryngol. 1962;75(3):274-5. http://dx.doi.org/10.1001/archotol.1962.00740040282018. PMid:14004575.
7. Riccio FJ, Scavo VJ. Unusual foreign body etiology of sialadenitis. Arch Otolaryngol. 1967;86(2):210-2. http://dx.doi.org/10.1001/archotol.1967.00760050212019. PMid:6029349.
8. Wolfowitz BL. Foreign body in the submandibular salivary gland. J Laryngol Otol. 1972;86(8):861-2. http://dx.doi.org/10.1017/S0022215100075988. PMid:5044292.
9. Modlin B. Foreign body (fingernail) as cause of acute submaxillary gland infection. Eye Ear Nose Throat Mon. 1975;54(5):206-7. PMid:1123030.
10. Watkins RM. Submandibular salivary duct calculus secondary to a foreign body. Br J Surg. 1982;69(7):379. http://dx.doi.org/10.1002/bjs.1800690707. PMid:7104605.
11. Tov YS, Talmi Y, Zohar Y, Laurian N. Facial cutaneous fistula due to a foreign body in Wharton’s duct. J Laryngol Otol. 1988;102(4):370-1. http://dx.doi.org/10.1017/ S0022215100105006. PMid:3385334.
12. Abe K, Higuchi T, Kubo S, Oka M. Submandibular sialoadenitis due to a foreign body. Br J Oral Maxillofac Surg. 1990;28(1):50-2. http://dx.doi.org/10.1016/0266- 4356(90)90012-A. PMid:2322526.
13. Marchal F, Kurt AM, Dulguerov P, Lehmann W. Retrograde theory in sialolithiasis formation. Arch Otolaryngol Head Neck Surg. 2001;127(1):66-8. http://dx.doi. org/10.1001/archotol.127.1.66. PMid:11177017.
14. McLoughlin LM, Dornan O. “Bird fancier’s mouth”, an unusual case of obstructive sialadenitis. Ulster Med J. 2002;71(2):142-3. PMid:12513013.
15. Ouellette AL, Slack CL. Shrapnel-induced sialolith--a rare etiology for sialadenitis: case report. J Oral Maxillofac Surg. 2003;61(5):636-7. http://dx.doi.org/10.1053/ joms.2003.50123. PMid:12730847.
16. Chowdhary A, Kalsotra P, Parihar SS, Bhagat DR, Ali N, Rashid A. Foreign body in the wharton’s duct. JK Sci. 2005;7(2):1-2.
17. Bhavesh M. Case of foreign body in Wharton’s ductcausing silolithiasis. Indian J Otolaryngol Head Neck Surg. 2005;57(4):322-3. http://dx.doi.org/10.1007/ BF02907699. PMid:23120206.
18. Ardekian L, Klain H, Peled M. Obstructive sialadenitis of submandibular gland due to foreign body successfully treated by sialoendoscopic intervention. J Oral Maxillofac Surg. 2009;67(6):1337-9. http://dx.doi.org/10.1016/j.joms.2008.12.059. PMid:19446229.
19. Su YX, Lao XM, Zheng GS, Liang LZ, Huang XH, Liao GQ. Sialoendoscopic management of submandibular gland obstruction caused by intraglandular foreign body. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;114(5):e17-21. http://dx.doi.org/10.1016/j.oooo.2011.09.022. PMid:23083482.
20. Sahan M, Cullu N, Deveer M, Sivrioglu AK, Beydilli H, Sözen H. Atypical obstructive submandibular sialoadenitis. JBR-BTR. 2013;96(4):266. PMid:24224327.
21. Xie L, Zheng L, Yu C, Yang C, Chen Z, Yun B, Kim E. Foreign body induced sialolithiasis treated by sialoendoscopic intervention. J Craniofac Surg. 2014;25(4):1372-5. http://dx.doi.org/10.1097/SCS.0000000000000851. PMid:25006917.
22. Derin S, Sahan M, Kule M, Koseoglu S, Celik OI. Fish bone induced sialolith in warthon duct. J Craniofac Surg. 2015;26(7):e663-4. http://dx.doi.org/10.1097/ SCS.0000000000002075. PMid:26439204.
23. Ozturk K, Erdur O, Aksoy C. Foreign body of submandibular gland. J Craniofac Surg. 2016;27(7):600-1. http://dx.doi.org/10.1097/SCS.0000000000002913. PMid:27438453.
24. Tabatabaee RM, Sanatkhani M. Obstructive sialadenitis of submandibular gland due to a nail-like fish bone foreign body: a rare case report. J Pharma Res Int. 2019;29(1):1-7. http://dx.doi.org/10.9734/jpri/2019/v29i130225.
Submitted date:
09/19/2022
Accepted date:
10/10/2022