Large Laryngeal Lipoma with Extra Laryngeal Component Mimics Mixed Form Laryngocele: A Case Report

  • Ahmad Rezaee-Azandaryani Department of Radiology, Hamadan University of Medical Sciences, Besat Hospital, Hamadan, Iran https://orcid.org/0000-0002-2228-4708
  • Mohamadmehdi Eftekharian Department of Radiology, Hamadan University of Medical Sciences, Besat Hospital, Hamadan, Iran https://orcid.org/0000-0002-2893-9867
  • Mehrdad Taghipour Department of General Surgery, Hamadan University of Medical Sciences, Besat Hospital, Hamadan, Iran https://orcid.org/0000-0001-8377-6813
Keywords: Case reports, Head and neck neoplasms, Laryngeal neoplasms, Lipoma

Abstract

Introduction: Lipomas are the most common benign neoplasms, occurring in any part of the body where fat is present. Their occurrence in the head and neck is not common. Here, we report a large laryngeal lipoma with extra laryngeal component, mimicking mixed form of laryngocele. Case presentation: A 47-year-old man presented with a 3-year history of hoarseness, intermittent dyspnea and mass sensation in the neck. The patient was submitted to indirect laryngoscopy; a large submucosal mass obliterating the left side of the supraglottic larynx and partially obstructing the airway was found. Enhanced computed tomography (CT) scan demonstrated non-enhancing homogeneous hypodense fat density mass lesion measured 55*45*32 mm, extending through the thyroid membrane to parapharyngeal space and showing extra laryngeal component with an intact laryngeal mucosa lesion. Open surgery of the submucosal mass was performed. Pathology examination confirmed the diagnosis of lipoma. Conclusion: Neck lipomas are also typically asymptomatic, but can compress nearby structures, causing symptoms such as hoarseness, dyspnea and dysphagia. When symptomatic, they should be removed via surgery.

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References

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Published
2019-07-28
How to Cite
Rezaee-Azandaryani, A., Eftekharian, M., & Taghipour, M. (2019). Large Laryngeal Lipoma with Extra Laryngeal Component Mimics Mixed Form Laryngocele: A Case Report. Advanced Journal of Emergency Medicine, 3(4), e45. https://doi.org/10.22114/ajem.v0i0.196
Section
Case (report / study)