Zaw Shin T, Zaw Thinzar, Haque Mahmudul
College of Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
College of Medicine, University of Central Florida College of Medicine, Orlando, USA.
Cureus. 2023 Mar 28;15(3):e36783. doi: 10.7759/cureus.36783. eCollection 2023 Mar.
Zenker's diverticulum (ZD) is a type of esophageal diverticulum, a relatively rare disease in the pharyngoesophageal area. It is a pulsion diverticulum, or false diverticulum, located dorsally at the wall between the pharynx and esophagus. This area is known as Killian's triangle or dehiscence and is a region of relative weakness. Common symptoms of ZD include dysphagia, choking, persistent cough, loss of weight, hoarseness, halitosis, regurgitation of undigested food, and borborygmi within the cervical region. We are reporting a case of oropharyngeal dysphagia due to a ZD in a 65-year-old man with a history of worsening dysphagia for two years. Clinical presentation, diagnosis, and treatment options for ZD are discussed, along with the underlying pathophysiology of this condition.
Zenker憩室（ZD）是一种食管憩室，是咽食管区域相对罕见的疾病。它是一种膨出性憩室，即假性憩室，位于咽与食管之间壁的背侧。该区域称为Killian三角或裂开处，是一个相对薄弱的区域。ZD的常见症状包括吞咽困难、呛咳、持续性咳嗽、体重减轻、声音嘶哑、口臭、未消化食物反流以及颈部肠鸣音。我们报告一例65岁男性因ZD导致口咽吞咽困难的病例，该患者有两年吞咽困难加重的病史。本文讨论了ZD的临床表现、诊断、治疗选择以及该疾病的潜在病理生理学。
