We encountered a 59-year-old man with angiomyoma of the retropharyngea
l space. He had been referred to our hospital because of a six-month h
istory of a sensation of a narrowed pharynx. A smooth-surfaced tumour
arising from the posterior wall in the hypopharynx was observed by ind
irect laryngoscopy. Radiographical imaging revealed a solitary tumour
with homogenous contents in the retropharyngeal space. The tumour was
successfully removed via a lateral pharyngotomy approach under general
anaesthesia. Histopathologically, the tumour was composed of numerous
veins with thick muscular walls. To the best of our knowledge, this i
s the first report of an angiomyoma arising in the retropharyngeal spa
ce.