# World’s Largest Tonsillolith Removal: A Case Report With Literature Review of Large Tonsil Stones on Record

## TL;DR

This case report describes the successful removal of the largest recorded tonsil stone, which was initially mistaken for an abscess.

## Contribution

The paper presents the first documented case of a tonsillolith measuring 5.2 × 2.5 × 2.5 cm being successfully removed.

## Key findings

- A massive tonsillolith measuring 5.2 × 2.5 × 2.5 cm was successfully removed surgically.
- The tonsillolith was initially mistaken for a peritonsillar abscess.
- This case represents the largest tonsillolith ever successfully removed.

## Abstract

Tonsil stones or tonsilloliths are mineralised concretions in the crypts of palatine tonsils. They are usually small and asymptomatic. Sometimes, they can be recurrent, large in size and produce symptoms like a sense of foreign body in throat, mild pain and heaviness in throat and halitosis. In such cases, a surgical intervention may be required for permanent cure. We came across one such patient with massive tonsillolith which mimicked a peritonsillar abscess initially. Eventually, the large tonsillolith was surgically removed in toto. It measured 5.2 × 2.5 × 2.5 cm which makes it the largest tonsillar stone ever to be successfully removed till date.