Question
A 65 year male complains of regurgitation of undigested food, few hours after meal, he also has progressive difficulty in swallowing, weight loss and swelling in the neck. What is your diagnosis:
| A. |
Achalasia
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| B. |
CA esophagus
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| C. |
Diffuse esophageal spasm
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| D. |
Pharyngeal pouch
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Show Answer
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Correct Answer � D
Explanation
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Answer- D Pharyngeal pouch
A pharyngeal pouch is a protrusion of mucosa though Killian’s dehiscence, a weak area of the posterior pharyngeal wall between the oblique fibres of the thyropharyngeus and
the transverse fibres of cricopharyngeus at the lower end of the inferior constrictor muscle.
Patients suffering from this condition are commonly more than 60 years of age and it is more common in men than women.
As the diverticulum enlarges, patients may experience regurgitation of undigested food, sometimes hours after a meal, particularly if they are bending down or turning over in bed at night.
They sometimes wake at night with a feeling of tightness in the throat and a fit of coughing.
The pouch may become large enough to form a visible swelling in the neck.
