Background: Plunging ranula is a variant of ranula, which present as a painless subcutaneous anterolateral neck mass and is located beyond the mylohyoid muscle. Plunging ranula is a diagnostic challenge and can present with intraoral component.
Case Report: An elderly male presented with painless neck mass in the cervical region for three months. The mass was excised, and the patient is doing well on follow-up. We report a case of recurrent plunging ranula without any intraoral component.
Conclusion: Whenever the intraoral component is missing in ranula, chances of misdiagnosis and mismanagement are high. Awareness of this entity and high index of suspicion is needed for accurate diagnosis and effective management.