Congenital laryngocele: An uncommon cause of neonatal respiratory distress

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Introduction: Congenital laryngocele is a rare phenomenon as only a few cases have been reported in literature. It is a pathologic occurrence originating in the saccule of the laryngeal ventricle. In many cases, patients with congenital laryngoceles present with respiratory distress due to the narrow airway of the neonate necessitating urgent surgical management. Case Report: We present a 29-day-old male neonate referred by the pediatrics team of our facility on account of respiratory distress, regurgitation of feeds, and a left-sided neck mass since birth. Evaluation of the patient included neck ultrasound, direct laryngoscopy of the larynx, and computed tomography (CT) scan of the neck. The imaging revealed a cystic mass containing air, compressing the airway. Surgical intervention via the external cervical approach was used to excise the mass, following an intra-operative tracheostomy. The child did well during the post-operative period and on follow-up, no sign of recurrence was observed. Conclusion: Congenital laryngocele might lead to obstruction of airway necessitating tracheostomy in neonate. We report the first case of congenital laryngocele in our environment and discuss the management.

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