ANAMNESIS / SYMPTOMS:
The patient complains about a three days before acutely occured and very painful swelling in the right cervical region. Since one day he can not ingest fluids any more. The swelling is very tender, he has no fever.



FINDINGS
:
In the right cervical region shows an anechoic tumour consisting of two parts medial to internal and external carotid arteries and jugular vein and to the sternocleidomastoid muscle. One part of the tumour is located outside the larynx, the other one is intralaryngeal.


DIAGNOSIS:
Intra- and extralaryngeal cervical cyst