Ranula. Clinical case presentation and literature review.

Imaging studies such as occlusal radiography and tomographic image were indicated. A large sialolith was identified in the images in the right submandibular gland, on the side opposite to the identified lesion. After the anamnesis, the exhaustive clinical examination of the affected area and the presence of visible calcified structures in the indicated complementary studies, the presumptive diagnosis of oral ranula associated with sialolithiasis was established, so its surgical removal was indicated after pre-surgical hematological studies.

After surgery, the sample is sent to the corresponding histopathological study, which confirms the clinical diagnosis of ranula or mucous retention cyst. A normal healing pattern was observed in the postoperative controls, and 6 months later there is no evidence of recurrence of ranula. In order to avoid recurrence, the patient was referred to the Oncology Institute Dr.

Heriberto Pieter, where he underwent the surgical procedure of submandibular sialoadenectomy, which consists in the removal of the gland. The case represents a typical manifestation of ranula caused by salivary retention due to ductal obstruction, and surgical removal of the salivary gland associated with the ranula is the treatment of choice to prevent recurrence.