Zenker diverticulum

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Zenker diverticulum

Pathology

Peritoneum and peritoneal cavity

Peritonitis

Pneumoperitoneum

Upper gastrointestinal tract disorders

Cleft lip and palate

Congenital diaphragmatic hernia

Esophageal web

Tracheoesophageal fistula

Pyloric stenosis

Sialadenitis

Parotitis

Oral candidiasis

Ludwig angina

Aphthous ulcers

Temporomandibular joint dysfunction

Dental abscess

Gingivitis and periodontitis

Dental caries disease

Oral cancer

Warthin tumor

Barrett esophagus

Achalasia

Plummer-Vinson syndrome

Mallory-Weiss syndrome

Boerhaave syndrome

Gastroesophageal reflux disease (GERD)

Zenker diverticulum

Diffuse esophageal spasm

Esophageal cancer

Eosinophilic esophagitis (NORD)

Gastritis

Gastric dumping syndrome

Peptic ulcer

Gastroparesis

Cyclic vomiting syndrome

Gastroenteritis

Gastric cancer

Lower gastrointestinal tract disorders

Gastroschisis

Imperforate anus

Omphalocele

Meckel diverticulum

Intestinal atresia

Hirschsprung disease

Intestinal malrotation

Necrotizing enterocolitis

Intussusception

Tropical sprue

Small bowel bacterial overgrowth syndrome

Celiac disease

Short bowel syndrome (NORD)

Lactose intolerance

Whipple's disease

Protein losing enteropathy

Microscopic colitis

Crohn disease

Ulcerative colitis

Bowel obstruction

Intestinal adhesions

Volvulus

Gallstone ileus

Abdominal hernias

Femoral hernia

Inguinal hernia

Small bowel ischemia and infarction

Ischemic colitis

Familial adenomatous polyposis

Peutz-Jeghers syndrome

Gardner syndrome

Juvenile polyposis syndrome

Colorectal polyps

Colorectal cancer

Carcinoid syndrome

Irritable bowel syndrome

Gastroenteritis

Diverticulosis and diverticulitis

Appendicitis

Anal fissure

Anal fistula

Hemorrhoid

Rectal prolapse

Liver, gallbladder and pancreas disorders

Crigler-Najjar syndrome

Biliary atresia

Gilbert's syndrome

Dubin-Johnson syndrome

Rotor syndrome

Jaundice

Cirrhosis

Portal hypertension

Hepatic encephalopathy

Hemochromatosis

Wilson disease

Budd-Chiari syndrome

Non-alcoholic fatty liver disease

Cholestatic liver disease

Hepatocellular adenoma

Autoimmune hepatitis

Alcohol-induced liver disease

Alpha 1-antitrypsin deficiency

Primary biliary cirrhosis

Primary sclerosing cholangitis

Hepatitis

Neonatal hepatitis

Reye syndrome

Benign liver tumors

Hepatocellular carcinoma

Gallstones

Biliary colic

Acute cholecystitis

Ascending cholangitis

Chronic cholecystitis

Gallstone ileus

Gallbladder cancer

Cholangiocarcinoma

Acute pancreatitis

Pancreatic pseudocyst

Chronic pancreatitis

Pancreatic cancer

Pancreatic neuroendocrine neoplasms

Zollinger-Ellison syndrome

Gastrointestinal system pathology review

Congenital gastrointestinal disorders: Pathology review

Esophageal disorders: Pathology review

GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review

Inflammatory bowel disease: Pathology review

Malabsorption syndromes: Pathology review

Diverticular disease: Pathology review

Appendicitis: Pathology review

Gastrointestinal bleeding: Pathology review

Colorectal polyps and cancer: Pathology review

Neuroendocrine tumors of the gastrointestinal system: Pathology review

Pancreatitis: Pathology review

Gallbladder disorders: Pathology review

Jaundice: Pathology review

Viral hepatitis: Pathology review

Cirrhosis: Pathology review

Assessments

Zenker diverticulum

Flashcards

0 / 6 complete

USMLE® Step 1 questions

0 / 1 complete

High Yield Notes

13 pages

Flashcards

Zenker diverticulum

of complete

Questions

USMLE® Step 1 style questions USMLE

of complete

An 80-year-old man comes to the clinic due for a follow-up after hospitalization. He was hospitalized two weeks ago for pneumonia and was treated with ampicillin-sulbactam. Medical history is notable for type 2 diabetes mellitus and aortic stenosis. Further medical history reveals 2 prior hospitalizations in the past year for pneumonia. The patient reports difficulty swallowing and regurgitation of undigested food particles. A barium esophagram is performed and shown below:  


Retrieved from: Wikimedia Commons

Which of the following areas is most likely responsible for this patient’s condition?  


 

External References

First Aid

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2018

Aspiration

Zenker diverticulum p. 393

Dysphagia

Zenker diverticulum p. 393

Geriatric patients

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Halitosis

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External Links

Summary

Zenker diverticulum, also known as a pharyngeal diverticulum, is a condition where a small pouch or sac protrudes from the mucosa of the human pharynx. It is a false diverticulum because it does not involve all layers of the esophageal wall. Symptoms of Zenker diverticulum include dysphagia, obstruction, gurgling, coughing, bad breath, and possibly a neck mass. Sometimes, it becomes infected, leading to fever, throat pain, and a foul-smelling discharge. Complications of Zenker diverticulum can include malnutrition, pneumonia, and aspiration. Treatment options include surgery, endoscopic therapy to seal the opening of the diverticulum, or balloon dilation.

Elsevier

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