October 26, 1964

Obstruction of Stensen's Duct With Food

JAMA. 1964;190(4):401. doi:10.1001/jama.1964.03070170142032

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To the Editor:—  To my knowledge, obstruction of Stensen's duct with food particles has not been reported, although the literature of the past 20 years mentions two cases of obstruction by other foreign bodies. In the one case, that of an 11-month-old infant, a chicken pin feather was ingested and became imbedded in Stensen's duct (Canad Med Assoc J72:35 [Jan] 1955). The other instance (Laryngoscope71:1597 [Dec] 1961) is that of a man who in some unknown manner had got a brome grass seed wedged in Stensen's duct. After about two months, a suppurative parotitis developed. The patient denied chewing grass. After extraction of the seed, he made an uneventful recovery.My report concerns a 35-year-old business executive who noted sudden painless swelling of the right parotid gland while eating. Within ten minutes, his facies had the appearance of acute mumps.Extruding from Stensen's duct on

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