[Oropharyngeal fat hernia in Madelung's neck as a rare cause of acute dysphagia].

BACKGROUND

Multiple symmetric lipomatosis (MSL) is a rare disorder clinically characterized by the presence of nonencapsulated lipomatous tissue around the neck, shoulders, and upper part of the thorax. The entity is frequently associated with peripheral neuropathy, chronic hepatopathy, and alcoholism. Despite of the cosmetically aspect of the patient with a reduced range of motion of the head and neck, MSL is asymptomatic in most cases.

CASE REPORT: A 61-year-old man with Madelung's disease complaining of acute dysphagia is presented. Magnetic resonance imaging revealed an oropharyngeal fat prolapse originating from the lipomatous tissue at the neck site. A symmetric resection of the neck fat with removal of the fat prolapse resulted in a satisfying functional and cosmetically outcome.

CONCLUSION

To prevent complications and cosmetically disfigurement, early surgical intervention is recommended.