Giant tonsillolith – a case report

Abstract

Tonsillolith or calculi of tonsil is unusual presentation of stone in tonsillar crypt. It commonly occurs between 20-77 years of age. Etiology of tonsillolith is multifactorial and not usually diagnosed. We describe a case of 32 years old male patient who presented with a 2 month history of mild odynophagia and was found to have a giant tonsillolith (2.9 x 2.6 x 2.3) cm in his right tonsil which was removed under local anaesthesia. We reviewed the literature on this rare clinical entity and found that this is amongst the largest ever reported cases of tonsillolith and first of its kind to be removed under local anaesthesia.