{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T10:50:48Z","timestamp":1789642248732,"version":"4.0.0"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,8,16]]},"abstract":"<jats:p>We present the case of a 76-year-old patient who attended our emergency department with signs of sepsis and severe respiratory distress. She had stridor, type 1 respiratory failure and a left-sided neck swelling. On CT, it was initially misdiagnosed as parapharyngeal abscess. When the imaging was reviewed, it was found to be a left-sided mixed laryngopyocoele obstructing the larynx with an asymptomatic contralateral laryngocoele. The internal component of the left laryngopyocoele was excised through a microlaryngoscopy approach while the external component was approached through a transcervical incision. The patient recovered well despite a postoperative myocardial infarction. Both laryngocoeles and laryngopyocoeles are rare, with the latter being the rarer of the two, however, extensive literature review could not identify any previous cases where both have coexisted in the same patient.<\/jats:p>","DOI":"10.1136\/bcr-2018-225444","type":"journal-article","created":{"date-parts":[[2018,9,4]],"date-time":"2018-09-04T10:35:47Z","timestamp":1536057347000},"page":"bcr-2018-225444","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Laryngopyocoele with contralateral laryngocoele: a rare cause of respiratory distress"],"prefix":"10.1136","volume":"2018","author":[{"suffix":"Jr","given":"Robert Munashe","family":"Maweni","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Leicester Royal Infirmary, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahram","family":"Shirazi","sequence":"additional","affiliation":[{"name":"General Surgery, Croydon University Hospital, Croydon, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios","family":"Chatzoudis","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Leicester Royal Infirmary, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudip","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Leicester Royal Infirmary, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,9,4]]},"reference":[{"key":"2025082804035558000_2018.sep03_1.bcr-2018-225444.1","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/S1015-9584(09)60257-8","article-title":"Intravenous neck injections in a drug abuser resulting in infection of a laryngocele","volume":"28","author":"Jahendran","year":"2005","journal-title":"Asian J Surg"},{"key":"2025082804035558000_2018.sep03_1.bcr-2018-225444.2","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1213\/00000539-199401000-00045","article-title":"An unusual cause of airway obstruction","volume":"78","author":"Kalish","year":"1994","journal-title":"Anesth Analg"},{"key":"2025082804035558000_2018.sep03_1.bcr-2018-225444.3","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.anl.2009.02.011","article-title":"Combined laryngocele: a cause of stridor and cervical swelling","volume":"37","author":"Keles","year":"2010","journal-title":"Auris Nasus Larynx"},{"key":"2025082804035558000_2018.sep03_1.bcr-2018-225444.4","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/1471-2482-6-14","article-title":"Laryngocele: a rare complication of surgical tracheostomy","volume":"6","author":"Upile","year":"2006","journal-title":"BMC Surg"},{"key":"2025082804035558000_2018.sep03_1.bcr-2018-225444.5","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.amsu.2016.07.026","article-title":"Mixed pyolaryngocele: uncommon presentation of deep spaces neck infection","volume":"10","author":"Mahdoufi","year":"2016","journal-title":"Ann Med Surg"},{"key":"2025082804035558000_2018.sep03_1.bcr-2018-225444.6","doi-asserted-by":"crossref","first-page":"CMENT.S746","DOI":"10.4137\/CMENT.S746","article-title":"Pyolaryngocoele: Management of an unusual cause of odynophagia and neck swelling","volume":"1","author":"Khan","year":"2008","journal-title":"Clinical medicine. 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