Zenker’s diverticulum in an 85-year-old Ugandan man

BMC Gastroenterology

Felix Bongomin¹  Senai Goitom Sereke²  Zeridah Muyinda³ 

[1] Department of Medicine, School of Medicine, Makerere University College of Health Sciences;Department of Radiology and Radiotherapy, School of Medicine, Makerere University College of Health Sciences;Department of Radiology, Mulago National Referral Hospital;

关键词: Zenker’s;    Diverticulum;    Barium swallow;    Videofluoroscopy;    Case report;   

DOI  :  10.1186/s12876-021-01914-2

来源: DOAJ

【 摘 要 】

Abstract Background Zenker’s diverticulum (ZD) is an uncommon disorder due to an outpouching of tissue through the Killian triangle that is thought to be caused by dysfunction of the cricopharyngeal muscle. Case presentation An 85-year-old male patient presented with odynophagia and dysphagia of initially solid food followed by fluids that was associated with a significant weight loss over a one-year period. Barium swallow videofluoroscopy demonstrated a posterior outpouching of proximal esophagus that was 2 cm from the epiglottis. With the diagnosis of medium sized ZD, the patient underwent endoscopy guided diverticulotomy. Six months after the procedure, he was asymptomatic and had gained weight. Conclusions Dysphagia and weight loss raises a clinical suspicion for a malignancy. Barium swallow examination is an inexpensive method for the diagnosis of ZD.

【 授权许可】

Unknown