As the Fluorescent Dye is Leaking out from the Barium Swallow shown in the Radiological Image given, So there must be Defect in the Muscular Wall leading to the Diffusion/Leakage of the Flourescent Dye.
Diverticulae in upper1/3rd of esophagus. Zenker’s diverticulum. Kind of pulsion diverticulum.false diverticulua.
the fluoroscopy study of barium swallow is a case of Zenker diverticulum.
Site: Killian triangle (a triangular weak point in the dorsal muscular wall of the hypopharynx, between the thyropharyngeal and cricopharyngeal parts of the inferior pharyngeal constrictor muscle).
It is a false diverticulum.
Increased intraluminal pressure → outpouching of the esophageal wall → pulsion diverticulum.
Clinical manifestations:
-
Dysphagia (most common)
-
Regurgitation of undigested food
-
Halitosis
-
Aspiration
-
Coughing after food intake.
Diagnosis:
-
Barium swallow (best confirmatory test) with dynamic continuous fluoroscopy : seen as contrast-filled pouch protruding dorsally from the hypopharynx at the level of C5/C6
-
Endoscopy
-
Transcutaneous ultrasound.
Management:
-
Dohlman procedure
-
Endoscopic diverticulostomy and myotomy
-
Open cricopharyngeal myotomy.