Burkitt's lymphoma (BL) is a rare B-cell malignancy that is seen most commo
nly in Africa and in immunocompromised patients. The most common presentati
on is that of an asymptomatic neck mass or extranodal disease. To our knowl
edge there have been no reports of a nasopharyngeal Burkitt's lymphoma caus
ing acute airway obstruction. necessitating urgent intervention.