Maman Bachir Abdoulaye, Iro Salissou, Ousseini Adakal, Maman Noury Hamissou Souley, Abdoulhaziz Issa
Surgery Department, Dan Dicko Dankoulodo University of Maradi, Maradi, NER.
General Surgery Department, Niger Maradi Reference Hospital, Maradi, NER.
Cureus. 2024 Dec 12;16(12):e75595. doi: 10.7759/cureus.75595. eCollection 2024 Dec.
A Zenker's diverticulum (ZD) is an acquired hernia of the mucosa and submucosa at the pharyngoesophageal junction dorsally through Killian's triangle, considered a zone of weakness. The authors report their experience in the management of a case of a ZD with oral externalization following coughing. Surgery made by a multidisciplinary team consisted first of resection of the edematous exteriorized portion of the diverticulum. Second, endoscopic assistance helped to reduce the remaining portion of the diverticulum, and a right anterolateral cervicotomy allowed to remove it at the origin. Immediate and medium-term postoperative follow-ups were uneventful. Functional and endoscopic results were satisfactory. A ZD is a rare condition that can take confusing or even enigmatic forms, making it a real challenge in terms of management.
Zenker憩室（ZD）是一种后天性疝，指黏膜和黏膜下层经Killian三角（被认为是一个薄弱区域）在咽食管交界处背侧突出。作者报告了他们处理一例因咳嗽导致ZD经口腔向外翻出病例的经验。由多学科团队进行的手术首先是切除憩室水肿外翻的部分。其次，内镜辅助有助于将憩室的剩余部分复位，右前外侧颈部切开术则可在憩室起源处将其切除。术后即刻及中期随访均无异常。功能和内镜检查结果令人满意。ZD是一种罕见疾病，可呈现令人困惑甚至难以捉摸的形式，这使其在治疗方面成为一项真正的挑战。
