AI Article Synopsis
- Zenker's diverticulum (ZD) is a condition where part of the throat sticks out because of pressure, often happening in older people.
- A 91-year-old man from Nepal has been struggling with swallowing and coughing for 25 years, and doctors found ZD using a special scan.
- Although surgery is the best way to treat ZD, the patient chose not to have it because he is very old and has other health problems.
Article Abstract
Zenker's diverticulum (ZD) is an acquired, false, and pulsion diverticulum formed by the protrusion of mucosa and submucosa through Killian's dehiscence. The index case is a 91-year-old Nepali patient with a known history of diabetes mellitus, hypertension, rheumatic heart disease, and stage 4 chronic kidney disease, who has been experiencing dysphagia, halitosis, and chronic cough for 25 years. A computed tomography (CT) scan of the chest revealed an outpouching filled with air, fluid, and some solid contents, arising at the level of the cricoid cartilage and extending posteriorly to the esophagus, compressing it. A barium swallow test was performed for confirmation and revealed similar findings. The patient was counseled for surgery but declined due to old age and comorbidities. ZD is commonly seen in the geriatric population and patients with neuromuscular discordance. Barium swallow and CT chest scans can diagnose ZD, and surgery is the mainstay of treatment.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11342093 | PMC |
| http://dx.doi.org/10.1016/j.radcr.2024.07.004 | DOI Listing |
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