A giant tonsillolith camouflaging as a peritonsillar abscess

Vikas Vijayan, Susan K. Sebastian, Abhijeet Raj, Priyanka S. Amar


Giant tonsillolith is a rare clinical entity. We present the case of a 7 years old male who presented with sore throat and difficulty in swallowing. Right tonsil was bulging into the oropharynx with marked peritonsillar swelling and inflammation and a provisional diagnosis of peritonsillar abscess was made. Contrast enhanced computed tomography scan revealed a large-sized tonsillolith on the right side. The patient underwent elective stone removal and tonsillectomy.


Tonsillolith, Peritonsillar abscess, Chronic tonsillitis

Full Text:



Dykes M, Izzat S, Pothula V. Giant tonsillolith: a rare cause of dysphagia. J Surg Case Rep. 2012;2012:4.

Hung CC, Lee JC, Kang BH, Lin YS. Giant tonsillolith. Otolaryngol Head Neck Surg. 2007;137:676-7.

Kanotra S, Kanotra S, Paul J. A giant tonsillolith. Indian J Otolaryngol Head Neck Surg. 2008;60(3):277-80.

Thakur JS, Minhas RS, Thakur A, Sharma DR, Mohindroo NK. Giant tonsillolith causing odynophagia in a child: a rare case report. Cases J. 2008;1(1):50.

Pruet CW, Duplan DA. Tonsil concretions and tonsilloliths. Otolaryngol Clin North Am. 1987;20(2):305-9.

Srivastava PR, Warhekar AM, Phulambrikar T, Wanjari PV, Srivastava RJ. Panoramic Radiographic Appearance of Giant Bilateral Tonsilloliths. Clin Diagn Res. 2016;10(7):10-11.

Kulkarni AS, Birangane RS, Kazi AZ, Channe RC. A giant tonsillolith: An Incidental Finding. J Indian Acad Oral Med Radiol. 2018;30:324-7.