Deep Neck Infection Complicated by Isolated Submandibular Gland Fracture Due to Blunt Trauma: A Case Report

Yeong Sang Hong; Yong Soo Cho

doi:10.3348/jksr.2018.78.3.220

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Hong and Cho: Deep Neck Infection Complicated by Isolated Submandibular Gland Fracture Due to Blunt Trauma: A Case Report

Case Report

J Korean Soc Radiol 2018;78(3):220-223.

Published online: 20 January 2018

DOI: https://doi.org/10.3348/jksr.2018.78.3.220

Deep Neck Infection Complicated by Isolated Submandibular Gland Fracture Due to Blunt Trauma: A Case Report

Yeong Sang Hong, MD, Yong Soo Cho, MD^∗

Department of Radiology, Chosun University Hosptal, Chosun University College of Medicine, Gwangju, Korea

^∗Corresponding author: Yong Soo Cho, MD Department of Radiology, Chosun University Hosptal, Chosun University College of Medicine, 365 Pilmun-daero, Dong-gu, Gwangju 61453, Korea. Tel. 82-62-220-3543 Fax. 82-62-228-9061 E-mail: waveys1@hanmail.net

Received 19 September 2017 Revised 11 November 2017 Accepted 18 November 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Isolated blunt traumatic injury to the submandibular gland is very rare. In the previous case reports, most patients with isolated submandibular gland injury had a good prognosis without any major complication. We report here a case of deep neck in-fection due to traumatic isolated submandibular gland fracture with computed to-mogrphy findings.

Keywords: Index terms Tomography, X-ray Computed Submandibular Gland Neck Bacterial Infections

References

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Fig. 1.

A 75-year-old man with deep neck infection, complicated by isolated submandibular gland fracture due to blunt trauma. A, B. Enhanced CT axial (A) and coronal (B) images of the neck demonstrate branching low-attenuation line of parenchymal laceration in the left submandibular gland with fluid collection in both anterior neck areas. C, D. Follow-up enhanced CT axial (C) and coronal (D) images reveal increased amount of fluid collection in both anterior neck areas with thickening and enhancement of the platysma and deep neck fascia. E. Surgical specimen demonstrates central parenchymal disruption in the left submandibular gland. CT = computed tomogrphy

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