Advertisement

Esophagus

, Volume 10, Issue 1, pp 30–33 | Cite as

Posttraumatic pseudo-Zenker’s diverticulum (with videos)

  • Shou-jiang TangEmail author
  • Feriyl Bhaijee
  • Sumanth R. Daram
Case Report

Abstract

Zenker’s diverticulum (ZD) is the posterior pulsion diverticulum below the esophageal introitus. We describe a case of posttraumatic pseudo-ZD, its etiology and management. A 57-year-old man with schizophrenia complained of sore throat and dysphagia. He believed that he had a foreign body (FB) in his throat and routinely swallowed various objects trying to push it down. As a result of repeated trauma, he was found to have an active laryngeal ulcer, a pseudo-ZD with a large fibrous polyp and a linear ulcer along the posterior upper esophagus. Intervention included endoscopic polypectomy within the diverticulum, removing sharp objects, and behavioral modifications. Two months later, his sore throat and dysphagia resolved. Repeat endoscopy revealed complete ulcer healing. Unfortunately, he still believes that there is an FB inside his throat. The potential complications related to repeated traumatic injury in the larynx and esophagus include perforation, ulceration, formation of pseudo-ZD and reactive fibrous polyps.

Keywords

Zenker’s diverticulum Pseudo-Zenker’s diverticulum Esophagus Endoscope Trauma Ulceration Polypectomy Fibrous polyp Sword swallowing Foreign body 

Abbreviation

ZD

Zenker’s diverticulum

Notes

Conflict of interest

We have no conflict of interest to disclose.

Supplementary material

Supplementary material 1 (MPG 42576 kb) Video 1: Pseudo-ZD: diagnostic and therapeutic endoscopy

Supplementary material 2 (MPG 35740 kb) Video 2: Pseudo-ZD: follow-up endoscopy

References

  1. 1.
    van Overbeek JJ. Pathogenesis and methods of treatment of Zenker’s diverticulum (Review). Ann Otol Rhinol Laryngol. 2003;112(7):583–93.PubMedGoogle Scholar
  2. 2.
    Tang SJ, Jazrawi S, Chen E, Tang L, Myers LL. Flexible endoscopic clip-assisted Zenker’s diverticulotomy (with videos)—the first case series. Laryngoscope. 2008;118:1199–205.PubMedCrossRefGoogle Scholar
  3. 3.
    Tang SJ, Myers LL. Flexible endoscopic diverticulotomies for bilateral Zenker’s diverticula (with videos). Laryngoscope. 2010;20:1553–6.CrossRefGoogle Scholar
  4. 4.
    Tang SJ, Tang L, Jazrawi SF, Meyer D, Wait MA, Myers LL. Iatrogenic esophageal submucosal dissection after attempted diagnostic gastroscopy (with videos). Laryngoscope. 2009;119:36–8.PubMedCrossRefGoogle Scholar
  5. 5.
    Sakai P. Endoscopic treatment of Zenker’s diverticulum (Editorial). Gastrointest Endosc. 2007;65:1054–5.PubMedCrossRefGoogle Scholar
  6. 6.
    Allis TJ, Grant NN, Davidson BJ. Hypopharyngeal diverticulum formation following anterior discectomy and fusion: case series. Ear Nose Throat J. 2010;89:E4–9.PubMedGoogle Scholar
  7. 7.
    Huizinga E. On oesophagoscopy and sword swallowing. Ann Otol Rhinol Laryngol. 1969;78:32–9.PubMedGoogle Scholar
  8. 8.
    Edmonson JM. History of the instruments for gastrointestinal endoscopy. Gastrointest Endosc. 1991;37:S27–56.PubMedCrossRefGoogle Scholar
  9. 9.
    Brian Witcombe, Dan Meyer. Sword swallowing and its side effects. BMJ. 333(7582): 1285–7.Google Scholar

Copyright information

© The Japan Esophageal Society and Springer 2012

Authors and Affiliations

  • Shou-jiang Tang
    • 1
    Email author
  • Feriyl Bhaijee
    • 2
  • Sumanth R. Daram
    • 1
  1. 1.Division of Digestive Diseases, Department of MedicineUniversity of Mississippi Medical CenterJacksonUSA
  2. 2.Department of PathologyUniversity of Mississippi Medical CenterJacksonUSA

Personalised recommendations