BACKGROUND
A 36-year-old man presents with recurrent swelling of the right submandibular gland that has lasted 3 months. It occurs a few times a week, usually after a meal. The swelling causes some discomfort and usually subsides after 1-2 hours. On examination, a firm 2 X 2-cm swelling is palpable in the right submandibular area. The swelling is nontender, not attached to the skin, and bimanually palpable. Intraoral examination findings are unremarkable. No calculi are palpable. A sialogram is obtained. What is the diagnosis?
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Hint
Episodes recur after meals.
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Author:
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Prepageran Narayanan, MD, FRCS, Rahmat Omar, MD, MS, S.T. Subha, MD, MS, and R. Raman, MD, MS
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University Malaya Medical Center, Kuala Lumpur, Malaysia
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Associate Editor:
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M.A. Jalaludin, MD, FRCS
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University Malaya Medical Center, Kuala Lumpur, Malaysia
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eMedicine Editor:
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John Leung, MD
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Northwestern University, Northwestern Memorial Hospital
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eMedicine Case
