Zenker's diverticulum

Case contributed by Dr Dayu Gai

Presentation

Increasing dysphagia.

Patient Data

Age: 56
Gender: Female
Modality: Barium

A lucency is seen projected anterior to the C6/C7 intervertebral disc.

Upon swallowing, the lucency corrseponds with a large outpouching of the lateral oesophageal wall, with its neck arising from just inferior to the C6 vertebral body, with its most inferior extent extending to the T1 vertebral body.

The outpouching retains contrast after passage of contrast. It is smooth walled.

Case Discussion

Zenker's diverticula, is an outpouching of mucosa at Killian's dehiscence,between the two parts of the inferior constrictor. Patients often present with dysphagia and halitosis, due to bacterial breakdown of trapped food within the pouch.

There is an increased incidence of squamous cell carcinoma associated with Zenker's diverticula.

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Case Information

rID: 43439
Case created: 10th Mar 2016
Last edited: 11th Mar 2016
Inclusion in quiz mode: Included

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