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External laryngocoele and pharyngocoele

Case contributed by Craig Hacking
Diagnosis almost certain

Presentation

MVA, patient in collar. CT C spine as part of trauma workup.

Patient Data

Age: 30 years
Gender: Male

Vertebral body alignment and vertebral body height is maintained. No cervical spine fracture.

Small incidental right-sided external laryngocoele. It appears to extend superiorly around the hyoid bone and communicating with the right vallecula representing a pharyngocoele. No laryngeal mucosal lesion identified at the opening of the ventricle.

Large CSF density space anterior to the left temporal pole likely represents an arachnoid cyst.

Case Discussion

This is a peculiar case of a combined laryngocoele and pharyngocoele.

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