Rehabilitation Department, King Abdullah Bin Abdulaziz University Hospital, P.O. Box 7 47330, Riyadh 11552, Saudi Arabia.
Department of Health Communication Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, P.O Box 84428, Riyadh 11671, Saudi Arabia.
Medicina (Kaunas). 2024 Oct 5;60(10):1628. doi: 10.3390/medicina60101628.
This report describes the case of a 62-year-old male patient in Saudi Arabia who developed a diverticular pouch in his oral cavity. Diverticula are rare conditions that appear as protrusions or pouches within the digestive tract's inner lining. The condition can occur in different parts of the digestive system, but the colon is the most affected part. As part of the patient's symptoms, he presented with dysphagia, weight loss, and globus sensations. Multiple diagnostic tests, including ultrasound, computerized tomography (CT), and magnetic resonance imaging (MRI), did not identify the diverticula. Barium and upper gastrointestinal studies were the diagnostic tests that provided accurate diagnoses where several diverticula were discovered during the videofluoroscopic swallow study (VFSS) and fiberoptic endoscopic evaluation of swallowing (FEES). Surgical intervention was recommended by the multidisciplinary team; however, the patient rejected this treatment option. This report highlights the necessity for instrumental swallowing diagnostic evaluation in the workup of the infrequent etiologies of dysphagia and suggests a gap in the current knowledge, prompting further studies on the etiology, incidence, and optimum management of upper gastrointestinal (GI) tract diverticular disease.
本报告介绍了沙特阿拉伯一名 62 岁男性患者口腔憩室的病例。憩室是一种罕见的疾病，表现为消化道内层的突起或囊袋。这种情况可能发生在消化道的不同部位，但结肠是最常受影响的部位。作为患者症状的一部分，他出现了吞咽困难、体重减轻和咽部异物感。包括超声、计算机断层扫描（CT）和磁共振成像（MRI）在内的多项诊断测试均未发现憩室。钡剂和上消化道研究是提供准确诊断的测试，在视频荧光透视吞咽研究（VFSS）和纤维内镜吞咽评估（FEES）中发现了多个憩室。多学科团队建议进行手术干预，但患者拒绝了这种治疗选择。本报告强调了在吞咽困难的罕见病因的检查中进行仪器吞咽诊断评估的必要性，并提示目前知识存在差距，需要进一步研究上消化道（GI）道憩室疾病的病因、发病率和最佳治疗方法。
