PT - JOURNAL ARTICLE AU - Ahmed, Khalid A. AU - Alfadhel, Alia K. AU - Mohammed, Bayan J. TI - Untreated submandibular megalith for over 60 years AID - 10.15537/smj.2018.7.22265 DP - 2018 Jul 01 TA - Saudi Medical Journal PG - 729--732 VI - 39 IP - 7 4099 - http://smj.org.sa/content/39/7/729.short 4100 - http://smj.org.sa/content/39/7/729.full SO - Saudi Med J2018 Jul 01; 39 AB - Intra-parenchymal sialolithiasis and subsequent fibrosis of the submandibular salivary glands is a rare disorder. The resulting swelling, pain, and infection derives affected patients to seek treatment. We present the case of an 85-years-old Saudi male patient who suffered from repeated swelling and infection in the left submandibular region which was misdiagnosed and treated for over 60 years as dental infection, infected skin sebaceous gland or lipoma. The presented case represents the largest intra-glandular submandibular stone with the longest duration ever reported in the medical literature.