Abstract
Retropharyngeal calcific tendinitis is a rare but probably an underdiagnosed and an underestimated disease caused by calcium hydroxyapatite deposition in the longus colli tendon [1–3]. Acute or subacute inflammation of these calcifications may lead to a false diagnosis of retropharyngeal abscess or phlegmon because of the association of severe cervical pain, stiff neck, and dysphagia and with a possible mild elevation of white blood cell count and C-reactive protein. The correct diagnosis is made by the recognition of pathognomonic signs on plain film and CT. The evolution is spontaneously favorable under medical treatment associating antiinflammatory drugs and analgesics [4, 5].
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