A case of laryngopharyngeal reflux: CT characterization in the acute setting

A case of supraglottic thickening and edema in a patient with laryngopharyngeal reflux (LPR) is presented. Symptoms included odynophagia and dysphagia acutely worse over the past 1 day prior to presentation, with recurrent vomiting and gastroesophageal reflux disease (GERD) over the past week. The p...

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Main Authors: Joe Steinman, PhD, Anna Hwang, MD, Stefanie Lee, MD, FRCPC
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325003085
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author Joe Steinman, PhD
Anna Hwang, MD
Stefanie Lee, MD, FRCPC
author_facet Joe Steinman, PhD
Anna Hwang, MD
Stefanie Lee, MD, FRCPC
author_sort Joe Steinman, PhD
collection DOAJ
description A case of supraglottic thickening and edema in a patient with laryngopharyngeal reflux (LPR) is presented. Symptoms included odynophagia and dysphagia acutely worse over the past 1 day prior to presentation, with recurrent vomiting and gastroesophageal reflux disease (GERD) over the past week. The patient underwent nasopharyngolaryngoscopy (NPL) and CT imaging to evaluate potential airway compromise or masses. Both CT and NPL demonstrated supraglottic swelling, with CT further revealing esophageal wall thickening and inflammation. CT findings of LPR are uncommonly reported, since diagnosis of LPR is typically based on clinical symptoms, direct observation (laryngoscopy), and reflux testing. LPR may be considered as part of the differential for laryngeal edema in the appropriate clinical setting, and awareness of this condition will aid in assessment for related imaging findings.
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spelling doaj-art-fe39aab3035a46dab23c02aba10586d32025-08-20T02:30:31ZengElsevierRadiology Case Reports1930-04332025-07-012073393339710.1016/j.radcr.2025.04.014A case of laryngopharyngeal reflux: CT characterization in the acute settingJoe Steinman, PhD0Anna Hwang, MD1Stefanie Lee, MD, FRCPC2Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, CanadaDepartment of Medical Imaging, McMaster University, Hamilton, Ontario, CanadaDepartment of Medical Imaging, McMaster University, Hamilton, Ontario, CanadaA case of supraglottic thickening and edema in a patient with laryngopharyngeal reflux (LPR) is presented. Symptoms included odynophagia and dysphagia acutely worse over the past 1 day prior to presentation, with recurrent vomiting and gastroesophageal reflux disease (GERD) over the past week. The patient underwent nasopharyngolaryngoscopy (NPL) and CT imaging to evaluate potential airway compromise or masses. Both CT and NPL demonstrated supraglottic swelling, with CT further revealing esophageal wall thickening and inflammation. CT findings of LPR are uncommonly reported, since diagnosis of LPR is typically based on clinical symptoms, direct observation (laryngoscopy), and reflux testing. LPR may be considered as part of the differential for laryngeal edema in the appropriate clinical setting, and awareness of this condition will aid in assessment for related imaging findings.http://www.sciencedirect.com/science/article/pii/S1930043325003085Laryngopharyngeal refluxSupraglottic edemaGastroesophageal refluxComputed tomographyPharynxLarynx
spellingShingle Joe Steinman, PhD
Anna Hwang, MD
Stefanie Lee, MD, FRCPC
A case of laryngopharyngeal reflux: CT characterization in the acute setting
Radiology Case Reports
Laryngopharyngeal reflux
Supraglottic edema
Gastroesophageal reflux
Computed tomography
Pharynx
Larynx
title A case of laryngopharyngeal reflux: CT characterization in the acute setting
title_full A case of laryngopharyngeal reflux: CT characterization in the acute setting
title_fullStr A case of laryngopharyngeal reflux: CT characterization in the acute setting
title_full_unstemmed A case of laryngopharyngeal reflux: CT characterization in the acute setting
title_short A case of laryngopharyngeal reflux: CT characterization in the acute setting
title_sort case of laryngopharyngeal reflux ct characterization in the acute setting
topic Laryngopharyngeal reflux
Supraglottic edema
Gastroesophageal reflux
Computed tomography
Pharynx
Larynx
url http://www.sciencedirect.com/science/article/pii/S1930043325003085
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