Hypopharyngeal gastric choristoma in an infant resulting in airway obstruction

Gastric choristoma (GC) is a relatively common congenital condition characterized by the presence of heterotopic gastric tissue outside the bounds of the gastric cavity. Although GCs may occur anywhere along the alimentary tract, they rarely occur in the hypopharynx. Hypopharyngeal GCs often declare themselves clinically during the neonatal period with life-threatening obstructive respiratory symptoms and/or feeding difficulty. We present a case of GC of the posterior pharyngeal wall manifesting as progressive dysphagia with failure to thrive and intermittent stridor.