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En Abstract Objective The aim of this study was to present a rare case of multiple parotid calculi (intraglandular and intraductal). Case presentation Here, we report the case of a 35-year-old man presenting with recurrent painful swelling over the left parotid region. Intervention Total conservative parotidectomy was performed. Results The patient was completely symptom free postoperatively and there was no complication. Conclusion Management of multiple intraparenchymal and intraductal parotid calculi is not straightforward. Parotidectomy may be required in some selected cases.