Bilateral submandibular salivary gland venous vascular malformation with ultrasound guided sclerotherapy

Common disease of the salivary gland is sialolithiasis with or without sialadenitis. A young male presented with pain in the left sumandibular region mimicking sialolithiasis. Ultrasonography showed focal hypoechoic lesions with calcifications on both sides. CT and MRI confirmed the diagnosis of venous vascular malformation. Focal lesions like venous vascular malformation should be considered in differential diagnosis whenever focal calcifications are seen, as it could represent phleboliths. Doppler applications are mandatory in all focal lesions of salivary glands. In the management, ultrasound guided local sclerotherapy was used as primary treatment. This unusual presentation and management makes this case interesting.