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NCT Neumología y Cirugía de Tórax

ISSN 2594-1526 (Electronic)
Antes Revista del Instituto Nacional de Enfermedades Respiratorias

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2006, Number 2

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Neumol Cir Torax 2006; 65 (2)

Zenker’s diverticulum as cause of aspirative pneumonia in non-elder patient

Ruiz-Tovar J
Full text How to cite this article

Language: Spanish
References: 8
Page: 56-59
PDF size: 104.91 Kb.


Key words:

Aspirative pneumonia, Zenker´s diverticulum, swallow disorders, broncoaspiration.

ABSTRACT

Aspirative pneumonia is typical of subjects with conscience or swallow disorders. Zenker’s diverticulum is a pouch in the posterior wall of the pharynx, where food rests are stored, and whose main symptoms are dysphagia, halitosis and regurgitation. We describe a case of a previously healthy 59 years old woman with sudden hemoptisis. X-Ray showed a condensation in the right lung basis. CT-scan described cavitation in the right inferior lobe and dilation of the esophagus as a casual finding. Esophagogram showed a Zenker´s diverticulum. An aspirative pneumonia secondary to a Zenker´s diverticulum was diagnosticated. The patient recovered uneventfully with antibiotic treatment. Four months later, diverticulectomy with cricopharyngeal miotomy was performed. The patient did not present any other case of pneumonia.


REFERENCES

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  2. Kasper DL. Infecciones por microorganismos anaerobios mixtos. En: Harrison. Principios de Medicina Interna. Madrid: McGraw-Hill-Interamericana, 1998: 1134-41.

  3. Aly A, Devitt G, Jamieson GG. Evolution of surgical treatment for pharyngeal pouch. Br J Surg 2004; 91: 657-64.

  4. Mulder CJ, den Hartog G, Robijn RJ, Thies JE. Flexible endoscopic treatment of Zenker’s diverticulum: a new approach. Endoscopy 1995; 27(6): 438-42.

  5. Philippsen LP, Weisberger EC, Whiteman TS, Schmidt JL. Endoscopic stapled diverticulotomy: treatment of choice for Zenker´s diverticulum. Laryngoscope 2000; 110(8): 1283-6.

  6. Peracchia A, Bonavina L, Narne S, et al. Minimally invasive surgery for Zenker´s diverticulum: analysis of results in 95 consecutive patients. Arch Surg 1998; 133(7): 695-700.

  7. Richtsmeier WJ. Endoscopic management of Zenker’s diverticulum: The staple-assisted approach. Am J Medicine 2003; 115(3A): 175S-178S.

  8. Goyal RK. Enfermedades del esófago. En: Harrison. Principios de Medicina Interna. Madrid: McGraw-Hill-Interamericana, 1998: 1803-12.




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C?MO CITAR (Vancouver)

Neumol Cir Torax. 2006;65