Clinical review for general practice

ISSN (Print) 2713-2552
ISSN (Online) 2782-5671
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FULLSCREEN > Archive > 2023 > Vol 4, №8 (2023) > Giant Zenker's diverticulum with esophageal obstruction and severe aspiration pneumonia

Giant Zenker's diverticulum with esophageal obstruction and severe aspiration pneumonia

Olga S. Arisheva , Maria A. Karnaushkina , Anastasia D. Strutynskaya , Ammar Rakan Deia (Mohammad Hadi) , Aleksandra O. Sosnina

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Abstract

Pharyngoesophageal diverticulum, or Zenker's diverticulum (ZD), is a rare pathology. With small diverticula that do not cause inflammation in the esophagus, the patient may not have any complaints or may only have a slight cough. As food accumulates in the formed diverticulum, its size increases, which is often accompanied by inflammation of the esophageal wall, compression of nearby organs, development of aspiration pneumonia, and in some cases may lead to esophageal perforation or esophageal bleeding. These complications can be life-threatening, so early diagnosis of ZD is extremely important. The article describes a clinical case of an elderly man with a late diagnosis of pharyngoesophageal diverticulum, complicated by the development of aspiration pneumonia, cachexia, electrolyte disturbances and acute renal failure. The complexity of patient management and diagnosis was due to recurrent aspiration with the development of severe pneumonia and the complexity of endoscopic examination methods.
Key words: pharyngoesophageal diverticulum, Zenker's diverticulum, esophageal obstruction, aspiration pneumonia, infectious esophagitis.

About the Author

Olga S. Arisheva 1 , Maria A. Karnaushkina 1 , Anastasia D. Strutynskaya 1 , Ammar Rakan Deia (Mohammad Hadi) 1 , Aleksandra O. Sosnina 2

1 People’s Friendship University of Russia (RUDN University), Moscow, Russia

2 Vinogradov State Clinical Hospital, Moscow, Russia

References

1. Hoffmann M, Fazel A, Mews KG, Ambrosch P. 32 years of experience with CO2-LASER-assisted treatment for Zenker's Diverticulum – an update of 227 patients treated in Kiel. Clin Otolaryngol. 2017; 42 (3): 592–6.
2. Nesheiwat Z, Antunes C. Zenker Diverticulum. 2023 Aug 8. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan. PMID: 29763172.
3. Achille G, Castellana M, Russo S et al. Zenker Diverticulum: A Potential Pitfall in Thyroid Ultrasound Evaluation: A Case Report and Systematic Review of Literature. Endocr Metab Immune Disord Drug Targets. 2019; 19 (1): 95–9.
4. Королев М.П., Климов А.В., Антипова М.В., Ткаченко О.Б. Диагностика и оперативное лечение дивертикулов Ценкера с применением современной эндоскопической техники. Вестник хирургии им. И.И. Грекова. 2011; 3: 35–9.
Korolev MP, Klimov AV, Antipova MV, Tkachenko OB. Diagnosis and surgical treatment of Cenker diverticula using modern endoscopic techniques. Bulletin of Surgery named after I.I. Grekov = Vestnik hirurgii im. I.I.Grekova. 2011; 3: 35–9 (in Russian).
5. Ishaq S, Sultan H, Siau K et al. New and emerging techniques for endoscopic treatment of Zenker's diverticulum: State-of-the-art review. Dig Endosc. 2018; 30 (4): 449–60.
6. Stoian S, Motofei I, Popescu B et al. Zenkers diverticulum, a rare cause of uppar gastrointestinal bleeding. Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi. 2013; 177 (2): 297–301.
7. Ciuc D, Birlă R, Panaitescu E et al. Zenker Diverticulum Treatment: Endoscopic or Surgical? Chirurgia (Bucur). 2018; 113 (2): 234–43.
8. Tenorio L, Palacios F. Efficacy and safety of the endoscopic management of Zenker diverticulum with IT-Knife 2 device. Rev Gastroenterol Peru. 2017; 37 (3): 203–8.
9. Patel DA, Krishnaswami S, Steger E et al. Economic and survival burden of dysphagia among inpatients in the United States. Dis Esophagus. 2018; 31 (1): 1–7.
10. Rommel N, Hamdy S. Oropharyngeal dysphagia: manifestations and diagnosis. Nat Rev Gastroenterol Hepatol. 2016; 13 (1): 49–59.
11. Абдураимов А.Б., Павлов М.В., Афанасьев А.Б., Михайлова З.Ф. Дивертикул Ценкера у пожилых пациентов. Клиническая геронтология. 2019; 25 (1–2): 62–8.
Abduraimov AB, Pavlov MV, Afanas'ev AB, Mihajlova ZF. Cenker's diverticulum in elderly patients. Clinical gerontology = Klinicheskaya gerontologiya. 2019; 25 (1–2): 62–8. (in Russian).
12. Niederman MS, Cilloniz C. Aspiration pneumonia. Rev Esp Quimioter. 2022; 35 (Suppl. 1): 73–7.

For citation:Arisheva O.S., Karnaushkina M.A., Strutynskaya A.D. et al. Giant Zenker's diverticulum with esophageal obstruction and severe aspiration pneumonia. Clinical review for general practice. 2023; 4 (8): 93–100 (In Russ.). DOI: 10.47407/kr2023.4.8.00336


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