Bronchogenic cysts are foregut-derived congenital lesions that are usually located in the mediastinum and detected in the pediatric patients. Rarely have they been reported in the adult neck. Herein, we report a 42-year-old male presenting with progressive respiratory distress due to airway compression by a growing left cervical mass lesion. Upon resection, a thin-walled cystic mass was noted and bronchogenic cyst was proved by its internal lining with ciliated columnar epithelium and cartilage. A review of the literature on cervical bronchogenic cyst in adults was also conducted.