Background: Vocal cord hemorrhages are due to the rupture of the blood vessel within the submucosa of the vocal fold. It is common in singers, post upper respiratory tract infections and in patients on anticoagulation. In this case report, we present an unusual presentation of a vocal cord hemorrhage following a sneeze. Case Report: This paper presents the case of a 34-year-old male who presented with change of the quality of his voice and throat pain following a sneeze. He was found to have right vocal cord hemorrhage on nasoendoscopy and was managed with total voice rest and rehydration. Patient made full recovery following conservative management. Conclusion: This case report is important as it highlights sneezing as a mechanism of vocal cord hemorrhage. It also shows the importance of having a low index of suspicion for performing nasoendoscopy following voice changes.

Keywords: Case report, vocal fold, hoarseness, odynophagia.