Unusual presentation of tonsillolith in a child


  • Manish Verma Department of Pediatrics, JLN Medical College and Hospitals, Ajmer, Rajasthan, India
  • Manish Tailor Department of Oto-rhinolaryngology, JLN Medical College and Hospitals, Ajmer, Rajasthan, India
  • Beena Thada Department of Anaesthesia, JLN Medical College and Hospitals, Ajmer, Rajasthan, India




Halitosis, Ladyfinger seeds, Tonsillolith


Tonsilloliths are calcified structures that form in the palantine tonsillar crypts. Tonsilloliths are uncommon in pediatric age group and usually present with pain, referred pain (ear), foreign body sensation, abscess and halitosis. This interesting case present with expulsion of mysterious ladyfinger seeds like structures from oral cavity. 


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

Babu TA, Joseph NM. Persistent earache due to tonsillolith. Indian Pediatr. 2012;49(2):144-5.

Mesolella M, Cimmino M, Di Martino M, Criscuoli G, Albanese L, Galli V. Tonsillolith case report and review of the literature. Acta Otorhinolaryngol Ital. 2004;24(5):302-7.

Oda M, Kito S, Tanaka T, Nishida I, Awano S, Fujita Y et al. Prevalence and imaging characteristics of detectable tonsilloliths on 482 pairs of consecutive CT and panoramic radiographs. BMC Oral Health. 2013;13:54.

Bai YK, Kumar BV. Tonsillolith: A polymicrobial biofilm. Med J Armed Forces India. 2015;71(1):S95-S98.

Sharma J, Mamatha GP, Acharya R. Primary oral myiasis: a case report. Med Oral Patol Oral Cir Bucal. 2008;13:E714-6.






Case Reports