An Unusual Case of a Tonsillolith

Tonsilloliths are rare calcified concretions that develop in tonsillar crypts within the substance of the tonsil or around it. Large tonsilloliths can mimic many conditions including abscesses or neoplasms. Given the wide range of differentials, it is difficult to diagnose tonsilloliths unless there...

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Main Authors: John Chan, Mamun Rashid, Yakubu Karagama
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/587503
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author John Chan
Mamun Rashid
Yakubu Karagama
author_facet John Chan
Mamun Rashid
Yakubu Karagama
author_sort John Chan
collection DOAJ
description Tonsilloliths are rare calcified concretions that develop in tonsillar crypts within the substance of the tonsil or around it. Large tonsilloliths can mimic many conditions including abscesses or neoplasms. Given the wide range of differentials, it is difficult to diagnose tonsilloliths unless there is a considered emphasis on thorough history taking, careful inspection and a detailed characterisation of the lesion through digital palpation. This may be further supplemented with investigations such as plain radiography and computer tomography. Here, we illustrate a case with risk factors of oropharyngeal cancer and a history of fish bone impaction in the throat that was initially diagnosed as a “tonsillar foreign body” which turned out eventually to be a large tonsillolith.
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institution Kabale University
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publishDate 2012-01-01
publisher Wiley
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series Case Reports in Medicine
spelling doaj-art-d9c385366c534b2991e7cb00eaafcafb2025-02-03T05:44:59ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/587503587503An Unusual Case of a TonsillolithJohn Chan0Mamun Rashid1Yakubu Karagama2Department of Otolaryngology, Broomfield Hospital, Chelmsford, UKENT Department, Royal Devon & Exeter Hospital, Exeter, EX2 5DW, UKDepartment of Otolaryngology, Tameside Hospital, Ashton-under-Lyne, UKTonsilloliths are rare calcified concretions that develop in tonsillar crypts within the substance of the tonsil or around it. Large tonsilloliths can mimic many conditions including abscesses or neoplasms. Given the wide range of differentials, it is difficult to diagnose tonsilloliths unless there is a considered emphasis on thorough history taking, careful inspection and a detailed characterisation of the lesion through digital palpation. This may be further supplemented with investigations such as plain radiography and computer tomography. Here, we illustrate a case with risk factors of oropharyngeal cancer and a history of fish bone impaction in the throat that was initially diagnosed as a “tonsillar foreign body” which turned out eventually to be a large tonsillolith.http://dx.doi.org/10.1155/2012/587503
spellingShingle John Chan
Mamun Rashid
Yakubu Karagama
An Unusual Case of a Tonsillolith
Case Reports in Medicine
title An Unusual Case of a Tonsillolith
title_full An Unusual Case of a Tonsillolith
title_fullStr An Unusual Case of a Tonsillolith
title_full_unstemmed An Unusual Case of a Tonsillolith
title_short An Unusual Case of a Tonsillolith
title_sort unusual case of a tonsillolith
url http://dx.doi.org/10.1155/2012/587503
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