Abstract
Lesions of vascular nature often suffer dystrophic calcification inside, called phleboliths, and are represented by radiopaque areas sometimes forming concentric circles. A white 30-year-old male patient complained of purple growths in mouth and face for several years. Medical records were not contributory. During physical examination, we found purplish growths with discoloration in the labial mucosa and cutaneous region. During intraoral examination, we observed lesions on the lip mucosa, purplish in the commissures, and purplish nodules on the floor of the mouth and lingual side. Purplish stains are observed in retromolar trigone and lingual dorsum regions. With a diagnosis of hemangiomas, occlusal x-ray was performed, which revealed radiopacities (phleboliths) in the mouth floor corresponding to the vascular lesions of the region. We referred him for a systemic evaluation by a vascular surgeon. Phleboliths can be easily confused with sialoliths, therefore requiring careful consideration by the clinician.
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