A 43-year-old man was referred urgently by his GP with a large mass at the back of his throat. The patient had complained of a mild foreign body sensation for the past 3 days, but was distraught to see the mass in the mirror while he was flossing. On further questioning, he recalled brushing his teeth too vigorously and having injured himself. He reported spitting out some blood into the sink but not being unduly distressed. He was a non-smoker and was had no significant past medical history. On examination, there was a 3 cm smooth mass in the right orophapryx (Figure 1). The mass was soft and attached to the right tonsil via a pedicle. Flexible nasendoscopy was normal and there was no evidence of airway obstruction by mass effect. Under local anaesthesia, the mass was removed with the use of a snare. Full blood count and coagulation studies were entirely normal. Follow-up outpatient clinic at 4 weeks was unremarkable. The tonsillar remnant had healed completely and there was no suspicion of any underlying pathology. Histopathology was consistent with that of infarcted tonsillar tissue.