The pharyngocele: infrequently encountered and easily misdiagnosed

Ven, Peter M. van de; Schutte, Harm K.

doi:10.1017/s0022215100129822

Cited by 19 publications

(23 citation statements)

References 6 publications

(9 reference statements)

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“…Since the first documented report of a pharyngocele in 1886 [1], pharyngoceles have only rarely been reported in the literature, but they may occur more commonly than documented because they can be asymptomatic. They manifest more often in men than in women (the male-tofemale ratio ranges between 3:1 and 8:1), and they usually arise during the fifth and sixth decades of life [2,3].…”

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confidence: 99%

Congenital Bilateral Pharyngoceles: An Unusual Case of Upper Dysphagia

Katsinelos¹,

Chatzimavroudis²,

Pilpilidis³

et al. 2007

Dysphagia

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Pharyngocele is infrequently reported in the literature and is rarely considered in the differential diagnosis of upper dysphagia. We describe the case of a healthy young man, without any history of activities that would result in elevated intrapharyngeal pressure, with difficulty swallowing since childhood. Bilateral pharyngoceles were diagnosed after barium swallow and carbonated-beverage ingestion. We discuss the possibility that our patient's pharyngoceles may be congenital in origin from an internal branchial sinus anomaly.

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confidence: 99%

Congenital Bilateral Pharyngoceles: An Unusual Case of Upper Dysphagia

Katsinelos¹,

Chatzimavroudis²,

Pilpilidis³

et al. 2007

Dysphagia

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“…The incidence of laryngocele has been estimated at 1 case per 2,500,000 persons per year in Great Britain, but pharyngoceles have been only rarely reported. 8 Presenting symptoms, if any, include dysphagia, hoarseness, cervical pain, weight loss, vomiting, or, as in our case, a cervical mass. 6,8 The vast majority of cervical masses evaluated with sonography turn out to be normal or abnormal lymph nodes.…”

Section: Discussionmentioning

confidence: 66%

“…8 Presenting symptoms, if any, include dysphagia, hoarseness, cervical pain, weight loss, vomiting, or, as in our case, a cervical mass. 6,8 The vast majority of cervical masses evaluated with sonography turn out to be normal or abnormal lymph nodes. Air in a cervical mass, which is easily recognized on sonography as a strongly echogenic zone occasionally scattered with ringdown artifacts, most often indicates an abscessed lesion, although in these circumstances, a pharyngocele or laryngocele should be considered in the differential diagnosis.…”

Section: Discussionmentioning

confidence: 66%

“…7 Pharyngoceles and laryngoceles are rare and are found most often in men in the fifth and sixth decades of life. [6][7][8] However, because the condition is often asymptomatic, the true incidence of pharyngocele remains unknown. The incidence of laryngocele has been estimated at 1 case per 2,500,000 persons per year in Great Britain, but pharyngoceles have been only rarely reported.…”

Section: Discussionmentioning

confidence: 99%

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Sonographic discovery of a pharyngocele

Chevallier

Motamedi

Marcy

et al. 2000

J. Clin. Ultrasound

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“…[5] Investigations for lateral pharyngeal diverticula usually involve Endoscopy which would reveal the site of the diverticulum through a slit like orifice visualized around the tonsils/valeculla or pyriform sinus and in our patient due to the big diverticulum and wide orifice such visualization was not possible. Barium swallow studies also can give us better images as to the exact site and nature of the diverticula entering the pyriform recess as in our case or sometimes around the tonsils or valeculla especially when performed with Valsalva maneuver.…”

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confidence: 73%

Lateral Pharyngeal Diverticulum presenting with Dysphagia

Berhanu¹,

Philipos²,

Ayalew³

2017

East. Cent. Afr. J. Surg.

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Lateral pharyngeal diverticulum (Pharyngocele) is the protrusion of pharyngeal mucosa through the pharyngeal wall, usually through either of two weak areas in the pharyngeal wall as an acquired or congenital case. Lateral diverticula are very rare and not to be mistaken for the rather more frequent and abundantly reported cases of posterior pharyngo-esophageal diverticula (Zenker`s). Here, we present a case of this very rare condition in a young boy who presented with severe dysphagia since childhood.Key words: Lateral, pharyngeal, diverticulum dysphagia DOI: http://dx.doi.org/10.4314/ecajs.v21i3.19 Case SummaryA 16 year old male patient presented to our hospital with difficulty of swallowing of solid and liquid diet since childhood with worsening of these symptoms since the past three years. Patient swallows with significant effort while noticing bulging of his neck on the right side. There was no history of cardiac, respiratory or neurologic condition in the past, no history of trauma, surgery or neck infection Physical findings at admission included stable vital signs, otherwise unremarkable. Pertinent finding was noticed upon attempt at swallowing and with Valsalva maneuver with significant bulging of the right lateral neck which is cystic and reducible (Figure 1). No neck swelling on the left side.Hence with the diagnosis of dysphagia secondary to lateral pharyngeal diverticulum he was investigated. Routine lab work was normal. Barium swallow revealed an out-pouching on the right lateral side of the hypopharynx on the right pyriform recess (Figure 2). CT scan of the neck also revealed the diverticulum. On Endoscopy, the right side recess looked distorted with bulging mucosal folds and it was not possible to intubate the esophagus.The patient was subsequently operated with an initial incision made along the right anterior border of the sternocleidomastoid muscle and dissection was made to the level of the diverticulum which was arising between the middle and inferior pharyngeal constrictor muscles and the thyro-hyoid membrane. The diverticulum was subsequently opened and attempt was made to pass in a nasogastric tube and failed due to a tightly constricted cricopharyngeus muscle (Figure 3). Skin incision was then extended along the anterior border of the left sternocleidomastoid muscle and and dissection made to the level of the cervical esophagus which was mobilized and the right lobe of the thyroid gland was removed to gain better exposure of the cricopharyngeal junction.

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The pharyngocele: infrequently encountered and easily misdiagnosed

Abstract: A pharyngocele is a rare condition. According to the literature and our own experience it is usually not recognized or is mistaken for a laryngocele.short review of the literature, a description of the condition and three cases are reported.

Cited by 19 publications

References 6 publications

Congenital Bilateral Pharyngoceles: An Unusual Case of Upper Dysphagia

Congenital Bilateral Pharyngoceles: An Unusual Case of Upper Dysphagia

Sonographic discovery of a pharyngocele

Lateral Pharyngeal Diverticulum presenting with Dysphagia

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