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Laryngopyocele in a case of bilateral mixed laryngocele: an impending airway emergency
- Source :
- BMJ Case Rep
- Publication Year :
- 2019
- Publisher :
- BMJ, 2019.
-
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.
- Subjects :
- Adult
Male
medicine.medical_specialty
Diagnosis, Differential
03 medical and health sciences
0302 clinical medicine
Acute onset
Rare Disease
otorhinolaryngologic diseases
medicine
Humans
Laryngocele
Respiratory distress
business.industry
Left pyriform sinus
General Medicine
medicine.disease
Dysphagia
Airway Obstruction
Airway Compromise
030220 oncology & carcinogenesis
Radiology
medicine.symptom
Deglutition Disorders
Respiratory Insufficiency
Complication
business
Airway
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 1757790X
- Volume :
- 12
- Database :
- OpenAIRE
- Journal :
- BMJ Case Reports
- Accession number :
- edsair.doi.dedup.....1696bb6e1014f8d70ace10f29df05e20