Presentation
Intermittent dysphagia especially to solid food.
Patient Data
Small out pouching arising from the midline of the posterior wall of the distal pharynx near the pharyngoesophageal junction inferring Zenker diverticulum.
There is also a circumferential narrowing at the gastro-esophageal junction, a few centimeters above the diaphragmatic hiatus most consistent with Schatzki ring.
Additionally, sliding hiatal hernia is evident.
Case Discussion
Zenker diverticulum, also known as a pharyngeal pouch, is a posterior outpouching of the hypopharynx, just proximal to the upper esophageal sphincter.
A Schatzki ring is symptomatically narrow esophageal B-ring occurring in the distal esophagus and usually associated with a hiatus hernia.