Korean J Gastroenterol.  2009 Jul;54(1):50-54. 10.4166/kjg.2009.54.1.50.

Sialadenosis in a Patient with Alcoholic Fatty Liver Developing after Heavy Alcohol Drinking

• Yu YH
• Park YS
• Kim SH
• Son BK
• Jun DW
• Jo YJ
• Ryu YS
• Kim HS

• KMID: 1792767
• DOI: http://doi.org/10.4166/kjg.2009.54.1.50

Abstract

Sialadenosis is a unique form of non-inflammatory, non-neoplastic bilateral salivary gland disorder characterized by recurrent painless swelling which usually occurs in parotid glands. Alcoholism is one of the main causes of sialadenosis along with diabetes, bulimia, and other idiopathic causes. The prognosis is verified according to the degree of liver function. We present a case of a 46 year-old man who had alcoholic fatty liver disease diagnosed as alcoholic sialadenosis based on clinical points of recurrent bilateral parotid swelling after heavy alcohol drinking, computed tomography, and fine-needle aspiration biopsy. After stopping alcohol drinking and treated with conservative treatment, he got improved without specific sequela.

Keyword

Fatty liver, Alcoholic; Parotid gland; Sialadenitis

MeSH Terms

Adult
*Alcohol Drinking
Fatty Liver, Alcoholic/*diagnosis/etiology/radiography
Humans
Male
Parotid Gland/*radiography/secretion
Positron-Emission Tomography
Sialadenitis/*diagnosis/etiology
Tomography, X-Ray Computed

Figure

• 

  Fig. 1. Abdominal CT scan showed no abnormal pancreas.

• 

  Fig. 2. Positron emission tomography-computed tomography (PET-CT) findings. (A) PET-CT finding showed diffuse hypermetabolism in bilateral parotid gland. (B) Yellowish arrows indicated hypermetabolism in bilateral parotid gland.

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  Fig. 3. CT scan showed enlarged bilateral parotid gland with ho-mogeneous density.

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