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Posttraumatic pseudo-Zenker's diverticulum (with videos)

机译：创伤后伪曾克氏憩室（带视频）

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摘要

Zenker's diverticulum (ZD) is the posterior pulsion diverticulum below the esophageal introitus. We describe a case of posttraumatic pseudo-ZD, its etiology and management. A 57-year-old man with schizophrenia complained of sore throat and dysphagia. He believed that he had a foreign body (FB) in his throat and routinely swallowed various objects trying to push it down. As a result of repeated trauma, he was found to have an active laryngeal ulcer, a pseudo-ZD with a large fibrous polyp and a linear ulcer along the posterior upper esophagus. Intervention included endoscopic polypectomy within the diverticulum, removing sharp objects, and behavioral modifications. Two months later, his sore throat and dysphagia resolved. Repeat endoscopy revealed complete ulcer healing. Unfortunately, he still believes that there is an FB inside his throat. The potential complications related to repeated traumatic injury in the larynx and esophagus include perforation, ulceration, formation of pseudo-ZD and reactive fibrous polyps.
机译：Zenker憩室（ZD）是食管口下方的后搏动憩室。我们描述了一个创伤后的假ZD病例，其病因和治疗。一名患有精神分裂症的57岁男子抱怨喉咙痛和吞咽困难。他认为自己的喉咙里有异物（FB），并且经常吞下各种物体以试图将其推下。由于反复受伤，他被发现患有活动性喉溃疡，假ZD和大的纤维性息肉，以及沿后食管的线性溃疡。干预措施包括憩室内窥镜息肉切除术，清除尖锐物体和行为改变。两个月后，他的喉咙痛和吞咽困难消退。重复内镜检查显示溃疡完全愈合。不幸的是，他仍然认为他的喉咙里有一个FB。与喉头和食道反复外伤相关的潜在并发症包括穿孔，溃疡，假ZD形成和反应性纤维性息肉。

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