TY - JOUR
T1 - Neck Swelling With Valsalva
AU - Friedland, Peter
AU - Azimuddin, Adibah
AU - Jeganathan, Chaithanya
AU - Hee, Geoffrey
PY - 2023/7/31
Y1 - 2023/7/31
N2 - We present a rare case of bilateral pharyngocoeles in a patient with symptomatic neck swelling prominently seen with the Valsalva manoeuvre. Pharyngocoeles have only been reported a handful of times in the literature. Due to their rarity, they can easily be misdiagnosed as a laryngocoele, Zenker’s diverticulum, or jugular venous phlebectasia. The diagnosis in this case was confirmed on computed tomography imaging of the neck with Valsalva performed. Our patient underwent surgical excision of the symptomatic pharyngocoele on the right side while conservative management was opted for the asymptomatic left pharyngocoele. His risk factors for developing bilateral pharyngocoeles are most likely due to the use of continuous positive airway pressure (CPAP) machine at high pressures coupled with pharyngeal wall weakness. To our knowledge, this is the first case of pharyngocoeles associated with CPAP machine use. It is important to perform a thorough assessment to appropriately diagnose and treat patients with this anatomical anomaly.
AB - We present a rare case of bilateral pharyngocoeles in a patient with symptomatic neck swelling prominently seen with the Valsalva manoeuvre. Pharyngocoeles have only been reported a handful of times in the literature. Due to their rarity, they can easily be misdiagnosed as a laryngocoele, Zenker’s diverticulum, or jugular venous phlebectasia. The diagnosis in this case was confirmed on computed tomography imaging of the neck with Valsalva performed. Our patient underwent surgical excision of the symptomatic pharyngocoele on the right side while conservative management was opted for the asymptomatic left pharyngocoele. His risk factors for developing bilateral pharyngocoeles are most likely due to the use of continuous positive airway pressure (CPAP) machine at high pressures coupled with pharyngeal wall weakness. To our knowledge, this is the first case of pharyngocoeles associated with CPAP machine use. It is important to perform a thorough assessment to appropriately diagnose and treat patients with this anatomical anomaly.
KW - obstructive sleep apnoea, continuous positive airway pressure (cpap), intrapharyngeal pressure, pharyngeal diverticulum, pharyngocoele
UR - https://www.webofscience.com/wos/woscc/full-record/WOS:001046815900022
U2 - 10.7759/cureus.42762
DO - 10.7759/cureus.42762
M3 - Article
C2 - 37663982
SN - 2168-8184
VL - 17
JO - Cureus
JF - Cureus
IS - 7
ER -