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同时发生的 Killian-Jamieson 和 Zenker 憩室。

Concurrent Killian-Jamieson and Zenker's Diverticula.

机构信息

Department of Otolaryngology-Head and Neck Surgery, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia.

Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

出版信息

J Craniofac Surg. 2023 Oct 1;34(7):e630-e632. doi: 10.1097/SCS.0000000000009434. Epub 2023 Jun 26.

Abstract

Pharyngoesophageal diverticula are rare causes of dysphagia. Zenker's diverticulum is the most common type, followed by Killian-Jamieson diverticulum. A 44-year-old male presented to our clinic with a longstanding history of dysphagia and globus sensation. Bilateral pharyngoesophageal diverticula were confirmed by imaging CT and esophagogastroscopy. He underwent transcervical resection, and a right Killian-Jamieson diverticulum was observed during surgery. The left diverticulum was found to originate above the cricopharyngeus muscle and was labeled as Zenker's diverticulum. Bilateral pharyngoesophageal diverticula are rare, and physicians should be aware of the variable clinical presentations and management options for pharyngoesophageal diverticula.

摘要

咽食管憩室是吞咽困难的罕见病因。Zenker 憩室是最常见的类型,其次是 Killian-Jamieson 憩室。一名 44 岁男性因长期吞咽困难和咽部异物感就诊于我院。影像学 CT 和食管胃镜检查证实双侧咽食管憩室。他接受了经颈切除术,术中观察到右侧 Killian-Jamieson 憩室。左侧憩室起源于环咽肌上方,被标记为 Zenker 憩室。双侧咽食管憩室罕见,医生应了解咽食管憩室的多种临床表现和处理选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d85b/10521795/99b4dad101f6/scs-34-e630-g001.jpg

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