Vallecular cyst is uncommon laryngeal lesion and generally asymptomatic. However, when large in size or occur in a small airway like in neonates, it causes respiratory and feeding difficulties. Here we report a rare case of symptomatic vallecular cyst in a neonate.
<p class="abstract">Esophageal perforation due to foreign body ingestion may lead to serious complications. Here we present a case of an 80 year old lady with multiple co-morbidities who presented with a proximal esophageal perforation with fistula formation following ingestion of a fish bone. Due to her age and co-morbidities the decision was made to manage her conservatively by IV antibiotics, NG tube feeds and observation. Follow up after 2 months showed resolution of the perforation and fistula, without the patient needing any surgical intervention. This case highlights conservative management of esophageal perforation with complications in patients with co-morbidities where open surgery is not favoured.</p>
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