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Year : 2021  |  Volume : 11  |  Issue : 2  |  Page : 36-38

A large vallecular cyst presenting as a tonsillitis mimic

Birmingham Heartlands Hospital, Birmingham, England, UK

Correspondence Address:
Andrew James Mowat
Heartlands Hospital, Bordesley Green, Birmingham, B9 5SS
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jlv.jlv_1_22

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We describe a unique case of an 18-year-old man referred to otolaryngology on call, as tonsillitis. He gave a 4-day history of progressive dysphagia, change in voice, and globus. No past medical history was given, and vital observations were stable. On clinical examination, his tonsils were unremarkable. Inflammatory markers were within normal limits. Flexible nasoendoscopy revealed a 5-cm oropharyngeal cyst, arising from the left vallecula. His airway was distorted with no view of the vocal cords. Initial management with antibiotics, steroids, and intravenous fluids stabilized his condition. A computed tomography neck with contrast confirmed the cyst to be an isolated lesion. A magnetic resonance imaging excluded the differential of lingual thyroid tissue. The patient was taken to the theater for marsupialization of the cyst, normalizing his airway. He was discharged the following day symptom-free.

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