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Zenker's Diverticulum

Adams DA - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Zenker's Diverticulum

History: 62 year old male with 1 year history of progressive dysphagia and associated hoarseness. Patient also reported transient episodes of rumination and gurgling sound from throat.

Findings: 1) Swallowing mechanism is satisfactory. There is no aspiration. 2) There is a classical Zenkers diverticulum arising from the esophagus at the cervical dorsal junction. This extends somewhat to the left and measures approximately 3cm. in greatest diameter. It fills readily and empties somewhat slowly. Mild associated compression of the adjacent esophagus is readily demonstrated. 3) The esophageal contours otherwise are satisfactory. A small sliding hernia was intermittently visualized. No spontaneous reflux was demonstrated and there was no reflux with a water siphon test.

Ddx: 1) Zenker's diverticulum- above upper esophageal sphincter 2) Traction diverticulum- near midpoint of esophagus 3) Epiphrenic diverticulum- above lower esophageal sphincter

Dxhow: Naso-pharyngeal fiberoptic scope

Exam: Physical exam was within normal limits. No cervical adenopathy or anterior neck mass. Esophageal-gastro-duodenoscopy revealed erythema to the lower esophageal sphincter and stomach fundus. Findings consistent with gastro-esophageal reflux disease. No lesions, erosions, or masses noted.

No MeSH data available.


Classic Zenker's diverticulum arising from the esophagus at the cervical dorsal junction. This extends somewhat to the left and measures approximately 3cm. in greatest diameter.
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MPX1477_synpic34366: Classic Zenker's diverticulum arising from the esophagus at the cervical dorsal junction. This extends somewhat to the left and measures approximately 3cm. in greatest diameter.


Zenker's Diverticulum

Adams DA - MedPix (2007)

Classic Zenker's diverticulum arising from the esophagus at the cervical dorsal junction. This extends somewhat to the left and measures approximately 3cm. in greatest diameter.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1477&req=5

MPX1477_synpic34366: Classic Zenker's diverticulum arising from the esophagus at the cervical dorsal junction. This extends somewhat to the left and measures approximately 3cm. in greatest diameter.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Zenker's Diverticulum

History: 62 year old male with 1 year history of progressive dysphagia and associated hoarseness. Patient also reported transient episodes of rumination and gurgling sound from throat.

Findings: 1) Swallowing mechanism is satisfactory. There is no aspiration. 2) There is a classical Zenkers diverticulum arising from the esophagus at the cervical dorsal junction. This extends somewhat to the left and measures approximately 3cm. in greatest diameter. It fills readily and empties somewhat slowly. Mild associated compression of the adjacent esophagus is readily demonstrated. 3) The esophageal contours otherwise are satisfactory. A small sliding hernia was intermittently visualized. No spontaneous reflux was demonstrated and there was no reflux with a water siphon test.

Ddx: 1) Zenker's diverticulum- above upper esophageal sphincter 2) Traction diverticulum- near midpoint of esophagus 3) Epiphrenic diverticulum- above lower esophageal sphincter

Dxhow: Naso-pharyngeal fiberoptic scope

Exam: Physical exam was within normal limits. No cervical adenopathy or anterior neck mass. Esophageal-gastro-duodenoscopy revealed erythema to the lower esophageal sphincter and stomach fundus. Findings consistent with gastro-esophageal reflux disease. No lesions, erosions, or masses noted.

No MeSH data available.