The formation of calcific concretions in the salivary duct or glands is a common disorder, but parotid calculi represent only a small proportion of all salivary calculi.This case describes a rare coexistence of a cutaneous fistula with salivary stones located in the superficial lobe of the parotid gland that was removed under local anesthesia.This patient provides illustration of the difficulty there may be in establishing the diagnosis of parotid calculus.We believe that the report of this rare case will help health professionals, reinforcing the importance of proper diagnosis based on clinical and imaging evaluations.