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2014, Number 3

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Gaceta Médica Espirituana 2014; 16 (3)

Ptyialism as an atypical clinical presentation of Zencker diverculum: a case report

Nápoles VMB, Chongo GY, Lorenzo CF, Pérez ROD

Language: Spanish
References: 10
Page:
PDF size: 95.44 Kb.


ABSTRACT

Background: Zencker diverculum is relatively infrequent, it can be presented with typical symptomatologies of the disease or with other atypical manifestations, as ptyalism or sialorrhea. Objective: to describe ptyalism or crisis of sialorrhea as a non-habitual presentation of Zencker diverculum. Case presentation: a 60 year-old male patient who attended the gastroenterology consultation as he was suffering from excessive salivation or sialorrhea since a year ago, sometimes along regurgitations and acidity. The contrasted oesophagogram was among the diagnostic means used, through which a Zencker diverculum was diagnosed. A left lateral cervicotomy with diverculum resection and ligature of its base was performed. Conclusions: the clinical method is the key to suspect the diagnosis of Zencker diverculum though its clinical presentation is infrequent and atypical as it is ptyalism or sialorrhea.


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