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Rare disease
CASE REPORT
Laryngopyocele in a case of bilateral mixed laryngocele: an impending airway emergency
  1. Prasanna Kumar Saravanam,
  2. Vinoth Manimaran,
  3. Mohamed Ramadhan and
  4. Gowthame Kanagasabai Prakash
  1. Otorhinolaryngology and Head and Neck Surgery, Sri Ramachandra University Medical College, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Vinoth Manimaran, vinomb88{at}gmail.com

Abstract

Laryngopyocele is a rare complication involving the laryngocele which can present with acute airway compromise. A 31-year-old man presented with acute onset respiratory distress and dysphagia. He had swelling on either side of upper aspect of the neck with tenderness on left side. Videolaryngoscopy using 70° rigid Hopkins rod telescope showed a swelling in the left pyriform sinus pushing the ipsilateral vocal cord. However, glottic space was adequate. Contract-enhanced CT scan of the neck confirmed left-sided mixed laryngopyocele with contralateral mixed laryngocele. Patient underwent excision of both the lesions in a single stage by transcervical approach. Laryngopyocele in a case of bilateral mixed laryngocele presenting as an impending airway emergency has not been reported in literature. The diagnostic and therapeutic challenges are discussed here along with review of literature.

  • ear, nose and throat/otolaryngology
  • pathology

https://doi.org/10.1136/bcr-2019-229450

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    Footnotes

    • Contributors PKS: Chief surgeon, Unit Head and advisor. VM: Corresponding author, main write up of the article and analysed literature. MR and GKP: Postgraduate trainees, assistant surgeons and involved in data collection and perioperative management of the patient.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.