EURORAD ESR

Case 3047

A giant Zenker's diverticulum: an uncommon cause of severe dysphagia

Author(s)
Gonzalez F, Arnaiz J, Landeras R, Torres M, Juanco C Silvan M
 
Patient
male, 50 year(s)
 
 
  • Figure 1
    Giant Zenker diverticulum: plain film findings.
     

    A plain oblique view of the upper thorax. We observe an air-fluid level above the aortic arch.

     
    Area of Interest: unknown; Imaging Technique: Giant Zenker diverticulum: plain film findings.;

    A plain X-ray anteroposterior view of the upper thorax. A mediastinal fluid-air level between the neck and the aortic arch. There is no evidence of the lower mediastinum widening.

     
    Area of Interest: unknown; Imaging Technique: Giant Zenker diverticulum: plain film findings.;
     
     
  • Figure 2
    Giant Zenker diverticulum: Barium esophagram
     

    An initial oblique X-ray view of the pharyngoesophageal junction after barium swallowing. All the barium bolus is trapped into a large esophageal diverticulum.

     
    Area of Interest: unknown; Imaging Technique: Giant Zenker diverticulum: Barium esophagram;

    An oblique view of the pharyngoesophageal junction after barium swallowing. The barium fills the diverticulum without passage of the barium bolus to the normal esophagus.

     
    Area of Interest: unknown; Imaging Technique: Giant Zenker diverticulum: Barium esophagram;

    An anteroposterior view of the pharyngoesophageal junction after barium swallowing. The barium fills the diverticulum without passage of the barium bolus to the normal esophagus.

     
    Area of Interest: unknown; Imaging Technique: Giant Zenker diverticulum: Barium esophagram;

    A posteroanterior view of the pharyngoesophageal junction after barium swallowing. The large diverticulum is full and appears as a large midline pouch without evidence of passage of a barium bolus to the esophagus.

     
    Area of Interest: unknown; Imaging Technique: Giant Zenker diverticulum: Barium esophagram;

    A lateral X-ray view of the diverticulum. There is evidence of barium reflux from the diverticulum. Only when the diverticulum is full does the bolus pass to the esophagus that is anteriorly displaced by the...

     
    Area of Interest: unknown; Imaging Technique: Giant Zenker diverticulum: Barium esophagram;
     
     
A plain oblique view of the upper thorax. We observe an air-fluid level above the aortic arch.
 
A plain X-ray anteroposterior view of the upper thorax. A mediastinal fluid-air level between the neck and the aortic arch. There is no evidence of the lower mediastinum widening.
 
An initial oblique X-ray view of the pharyngoesophageal junction after barium swallowing. All the barium bolus is trapped into a large esophageal diverticulum.
 
An oblique view of the pharyngoesophageal junction after barium swallowing. The barium fills the diverticulum without passage of the barium bolus to the normal esophagus.
 
An anteroposterior view of the pharyngoesophageal junction after barium swallowing. The barium fills the diverticulum without passage of the barium bolus to the normal esophagus.
 
A posteroanterior view of the pharyngoesophageal junction after barium swallowing. The large diverticulum is full and appears as a large midline pouch without evidence of passage of a barium bolus to the esophagus.
 
A lateral X-ray view of the diverticulum. There is evidence of barium reflux from the diverticulum. Only when the diverticulum is full does the bolus pass to the esophagus that is anteriorly displaced by the diverticulum.
 
 
 
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