Bicornuate Zenker’s Diverticulum
نویسندگان
چکیده
Zenker’s diverticulum (ZD) is a pulsin type diverticulum of the hypopharynx caused by the elevation of pressure within the esophagus and herniation of the esophageal mucosa and submucosa.1 The peak incidence of this disease is in the seventh to ninth decades and diagnosis is more common in men and elderly patients. The highest prevalence rate is estimated at 2 per 100,000 people.1,2 Hiatal hernia and/or gastroesophageal reflux disorder (GERD), male gender and age are risk factors for development of Zenker’s diverticulum.2 The patients usually present with dysphagia, halitosis, regurgitation, postprandial emesis, chronic cough, aspiration, and/or weight loss. Diagnosis is based on clinical symptoms and confirmed by barium esophagaram.3 Our patient is a 44-year-old man presented with regurgitation, undigested food, halitosis, and on and off dysphagia. Barium swallow showed bisegment diverticulum in posterior part of cervical esophagus with a single neck at the level of C7-T1. Findings were in favor of Zenker’s diverticulum (Figure 1). Bicornuate Zenker’s diverticulum was confirmed by exploration of left side of neck (Figure 2). Diverticulectomy and long segment myotomy were performed. Post operation period was clear. Photo Clinic
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Zenker’s diverticulum is a pouch protruding posteriorly above the upper esophageal sphincter (1). A small diverticulum may be asymptomatic, while a large one may produce dysphagia, food regurgitation, weight loss, and gastroesophageal reflux symptoms. Pneumonia has been reported as a complication in 12% of cases (2). I present the case of an elderly man whose recurrent complications of a Zenker...
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Zenker’s diverticulum is rarely seen in a clinical setting and may mimic a thyroid nodule. Fine needle aspiration cytology (FNAC) is effective in differentiating neck masses, and rarely has complications. FNAC of Zenker’s diverticulum presents with both squamous cells and bacteria while FNAC of thyroid nodular typically presents with follicular cells and colloid. (J Intern Med Taiwan 2016; 27: ...
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A Zenker’s diverticulum is the rarest type of gastrointestinal diverticulum and is located immediately above the upper esophageal sphincter. Here we report the case of a dislodged tooth that entered and remained hidden in a Zenker’s diverticulum, and combined use of endoscopy and X-ray fluoroscopy was useful for diagnosis and treatment. To our knowledge, this is the first report of a dislodged ...
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Zenker’s diverticulum can be treated successfully using flexible endoscopy [1]. Several methods have been used to cut the septum of the diverticulum, such as LigaSure (Medtronic, Minneapolis, Minnesota, USA), needle-knife, and other submucosal dissection devices. Recently, isolated cases using the stag beetle (SB) knife dissector, SB jr 3.5mm, have been reported [2–4]. We present the case of a ...
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