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

[ Vol. 19 , Issue. 1 ]

Author(s):

Gaetano Achille, Marco Castellana, Sabino Russo, Massimo Montepara, Vito Angelo Giagulli and Vincenzo Triggiani*   Pages 95 - 99 ( 5 )

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.

Affiliation:

ENT Operative Unit, Institute of Oncology of Bari, Bari, via Turi 44 Rutigliano, Bari, ENT Operative Unit, Institute of Oncology of Bari, Bari, ENT Operative Unit, Institute of Oncology of Bari, Bari, Section of Internal Medicine, Geriatrics, Endocrinology and Rare Diseases, Interdisciplinary Department of Medicine, University of Bari, School of Medicine, Policlinico, Bari, Section of Internal Medicine, Geriatrics, Endocrinology and Rare Diseases, Interdisciplinary Department of Medicine, University of Bari, School of Medicine, Policlinico, Bari

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