ABSTRACT
A case of Necrotizing Sialometaplasia of parotid gland is reported. Clinical picture: This patient was initially diagnosed as a case of parotitis and treated by intravenous antibiotic for three days without improvement. Ultrasonography revealed fluid collection in the substance of the gland and needle aspiration revealed only blood. Fine needle aspiration was done and cytological examination revealed only blood cells without any glandular tissue. Incision and drainage of haematoma with incisional biopsy was done and histopathological examination confirmed the diagnosis of necrotizing sialometaplasia. After three weeks of conservative therapy without improvement superficial parotidectomy was done without any significant morbidity. Severe form of necrotizing sialoametaplasia affecting major salivary gland can be treated safely and effectively by sialoadenectomy