A 22-year-old man presented at our ENT clinic with a complaint of a bilateral cervical mass for 1 year with progressive growth more visible during physical exertion. Physical examination revealed cervical symmetrical bilateral protrusions next to the thyroid cartilage during Val-salva maneuver (Fig 1). Barium swallow study revealed the topography and size of the pouches; bilateral pharyngeal diverticulum was the diagnosis (Fig 2). Protrusions occurred during the pharyngeal phase when the pharynx was full of barium medium contrast, and they disappeared once the pharynx was empty, with no residual mark. The diverticulum was approximately 2 cm wide with a wide isthmus.
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