Zenker diverticulum (cine of incomplete relaxation of cricopharyngeus)

Case contributed by Matt A. Morgan ◉

Diagnosis certain

Diagnosis certain

Citation, DOI, disclosures and case data

Citation:

Morgan M, Zenker diverticulum (cine of incomplete relaxation of cricopharyngeus). Case study, Radiopaedia.org (Accessed on 28 Sep 2023) https://doi.org/10.53347/rID-40795

DOI:

https://doi.org/10.53347/rID-40795

Permalink:

https://radiopaedia.org/cases/40795

rID:

40795

Disclosures:

At the time the case was submitted for publication Matt A. Morgan had no recorded disclosures.

View Matt A. Morgan's current disclosures

Case published:

4 Nov 2015

Revisions:

13 times, by 1 contributor - see full revision history and disclosures

Systems:

Gastrointestinal, Head & Neck

Tags:

esophagus, fluoroscopy, barium

Quiz mode:

Excluded

Presentation

Dysphagia. Patient had Alzheimer's dementia and directed questioning about symptoms was unrevealing.

Patient Data

Age: 90-95Y

Gender: Male

From the case: Zenker diverticulum (cine of incomplete relaxation of cricopharyngeus)

Fluoroscopy

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of the cervical esophagus","specifics":null}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"crushergradient","case_id":40795,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}

On this modified barium swallow study, there is a persisting posterior pharyngeal pouch, compatible with a Zenker diverticulum.

On the cinefluoroscopic images, the incompletely relaxing cricopharyngeus muscle is well seen and the resulting pressure on the posterior wall of the lower pharynx that results in the Zenker diverticulum is evident.

There is also a small anterior cervical esophageal web that can be seen transiently with each swallow.

1 article features images from this case

Zenker diverticulum

19 public playlists include this case

FRCR2B by Dr. Nehar Ranjan Chakraborty ◉
FRCR 2B AMR SAADAWY (part 6) (part 1) by Amr Saadawy
Gastrointestinal by Govindasamy Nedunchezhiyan
Opacifications by Benali
viva 2 GI by Kanika Garg
av frcr 1 by Avni K P Skandhan ◉
Rad revision by Menyatsoe
GIGU by Prakruthi Venkatappa
CMCC GI Films by Varsha Kumar
Frcr 2b by Syed Rahman
Gastrointestinal by Ashley Hook
Fluoro by Ben Ball ◉
+ by Irina
FRCR2B by Dr. Nehar Ranjan Chakraborty ◉
fluoro - gis by Ertugrul
Body Fluoro by Eugene Ng
Abdomen by AT
FRCR 2b Random by Sidd Muzumdar
Digestivo by Johana Rosinger

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