%0 Case Reports
%T Laryngopyocele in a case of bilateral mixed laryngocele: an impending airway emergency.
%A Saravanam PK
%A Manimaran V
%A Ramadhan M
%A Prakash GK
%J BMJ Case Rep
%V 12
%N 8
%D Aug 2019 30
%M 31473632
暂无%R 10.1136/bcr-2019-229450
%X 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.