Zenker Diverticulum: A Potential Pitfall in Thyroid Ultrasound Evaluation: A Case Report and Systematic Review of Literature

Author(s): Gaetano Achille, Marco Castellana, Sabino Russo, Massimo Montepara, Vito Angelo Giagulli, Vincenzo Triggiani*

Journal Name: Endocrine, Metabolic & Immune Disorders - Drug Targets
Formerly Current Drug Targets - Immune, Endocrine & Metabolic Disorders

Volume 19 , Issue 1 , 2019

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Graphical Abstract:


Background and Objective: Zenker Diverticulum (ZD) can sometimes be misinterpreted as a thyroid nodule both at clinical evaluation and at Ultrasound (US).

Case Presentation: We reported the case of a 46-years-old woman complaining of a lump in the anterior left aspect of the neck. Following clinical examination and US evaluation, a thyroid nodule was initially diagnosed and the patient was referred to our institution to be submitted to a fine-needle aspiration cytology.

Management and Outcome: A ZD was suspected by US and diagnosed by gastrografin esophagram, thus an endoscopic diverticulotomy was requested.

Conclusion: A correct US evaluation can be crucial for the appropriate management of a neck mass.

Keywords: Zenker diverticulum, pharyngoesophageal diverticulum, thyroid nodule, ultrasound, systematic review, case report.

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Article Details

Year: 2019
Published on: 03 January, 2019
Page: [95 - 99]
Pages: 5
DOI: 10.2174/1871530318666180910122003
Price: $65

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