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https://doi.org/10.21860/medflum2020_232816

Airway obstruction caused by laryngocele – case report

Luciana Miljas orcid.org/0000-0003-4962-647X ; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
Mario Milotić ; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
Blažen Marijić ; Klinika za otorinolaringologiju i kirurgiju glave i vrata, KBC Rijeka, Rijeka, Hrvatska
Jelena Vukelić ; Klinika za otorinolaringologiju i kirurgiju glave i vrata, KBC Rijeka, Rijeka, Hrvatska
Tamara Braut ; Klinika za otorinolaringologiju i kirurgiju glave i vrata, KBC Rijeka, Rijeka, Hrvatska

Abstract

Objective: The aim of this case report is to present a case with multiple rare laryngocele complications. Case review: This case report follows a 71-year-old female patient with multiple complications following the formation of a laryngocele. The patient first arrives at the Otorhinolaryngology, head and neck surgery clinic in February 2008 and undergoes a tracheotomy for acute epiglottitis. A year later, the patient returns to the clinic complaining about odynophagia and dysphagia. A diagnosis of parapharyngeal abscess is made and the patient is treated with incision and drainage. In 2010 the patient is re-hospitalized for a neck formation and a diagnostic procedure is initiated. A few days later, the patient is discharged, but soon returns to the hospital dyspnoeic. Magnetic resonance imaging of the neck is performed, and a diagnosis of laryngocele is made. The patient undergoes surgical extirpation of the laryngocele. Conclusion: The patient in this case has an interesting combination of rare complications which makes this case worth representing. Firstly, we assume that this patient has developed a laryngocele following a tracheostomy. We were able to find only one case of post-tracheostomy laryngocele formation in the literature. Secondly, the laryngocele caused this patient a life threating airway obstruction which is in itself a very rare complication. We can speculate that an earlier diagnosis and treatment could have saved the patient of all the complication she had, and we hope this case can contribute to lower the incidence of laryngocele complications in the future.

Keywords

dyspnea; laryngocele; tracheotomy

Hrčak ID:

232816

URI

https://hrcak.srce.hr/232816

Publication date:

1.3.2020.

Article data in other languages: croatian

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