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Case of the Week 584


What is the most likely diagnosis?

  • 63 year-old with difficulty swallowing



Loop Video of Barium Esophagram

  1. Esophageal Varices
  2. Zenker's Diverticulum
  3. Esophageal Carcinoma
  4. Traction Diverticulum
  5. Foreign Body

Additional image - None

 

 

Additional Images

 


None


Answer:

 

2. Zenker's Diverticulum

 

More (Click Discussion Tab)

 

 

Zenker's Diverticulum


·         Pharyngoesophageal diverticulum

·         Occurs in older women

·         Posteriorly at site of Killian's dehiscence = superior boundary is thyropharyngeal muscle and inferior boundary is cricopharyngeal muscle

·         Pulsion diverticulum

·         False diverticulum = herniation of mucosa and submucosa through muscular layer

MORE . . .

 


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.