Medical Journal of Dr. D.Y. Patil Vidyapeeth (Aug 2024)
Sialocutaneous Fistula of the Parotid Gland Secondary to Tuberculosis
Abstract
Sialocutaneous fistula is an epithelialized tract between the skin and salivary gland. Parotid tuberculosis is a rare form of extra-pulmonary tuberculosis. It is rare even in an endemic country like India. It presents as a swelling or abscess in the parotid region. Drainage of such abscess may lead to formation of discharging sinus. We present a case of a 37-year-old female who presented with complaints of discharge from the left parotid region. She gave a past history of swelling in the left parotid region, for which she had undergone incision and drainage. Contrast-enhanced computed tomography neck was suggestive of left sialocutaneous fistula with inflammation of superficial lobe of parotid, for which she underwent fistulectomy. Histopathology was suggestive of sialocutaneous fistula with tubercular etiology and was managed with anti-tubercular treatment.
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