Introduction A laryngocele is a lateral dilatation of the laryngeal ventricle of Morgagni. It
can be congenital or acquired and presents clinically as a swelling of the neck.
Case Report: A 58-year-old female patient presented with a persistent, painless, non-fluctuating
swelling of the left side of the neck lasting for 2 months. She was additionally suffering
of hoarseness and exertional dyspnea for 10 days. There was no dysphagia, odynophagia
or B symptoms present, instead developing a sudden and gradually progressive stridor.
Upon examination there was an endolaryngeal, nonirritating flat and edematous swelling
of the left vallecula towards the left aryepiglottic fold. Symmetrical mobility and
opening of the vocal chords was present. A nonirritating, painless and soft swelling
was found on the left side of the neck (Level II), measuring 4 cm.
The CT scan of the neck showed an 42x 37x 29 mm air-filled swelling in the left cervical
area just below the epiglottis without communication to the trachea. This lead to
a compression and lateralisation of the larynx and the upper trachea.
We removed the laryngocele via lateral pharyngotomy with wide opening the left ventricle
of Morgagni under general anaesthesia. The Laryngocele was removed completely and
the entrance was closed using a three layer method.
Conclusion An acquired laryngocele can rapidly increase in size and cause stridor and hoarseness.
It should be considered as a differential diagnosis of a nonirritating laryngeal swelling.
The diagnosis can be confirmed by CT scan. Therapy of choice is the complete surgical
excision.
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