Lipomas of the retropharyngeal region are rare, slow-growing tumours that a
ttain a large size before producing symptoms such as dysphagia and dyspnoea
. Clinical diagnosis may be difficult. However computed tomography or magne
tic resonance imaging is the investigation of choice and helps in definitiv
e diagnosis preoperatively, although final histological confirmation is ess
ential. Surgery is the treatment of choice. In the following paper we repor
t a case of retropharyngeal lipoma presenting with dysphagia which was mana
ged surgically with complete amelioration of symptoms.