A rare case of combining foreign body of the esophagus with the Zenker’s diverticulum and primary spontaneous pneumothorax

Abstract


Actuality: A rare combination of a foreign body of the esophagus with Zenker's diverticulum and spontaneous pneumothorax can be mistakenly regarded as clinical and radiologic manifestations of perforation of the cervical esophagus, a dangerous condition requiring emergency surgery.

Objective: On the clinical example, to show the importance of an integrated approach in the examination of patients with foreign bodies of the esophagus to exclude the perforation of the esophagus.

Materials and methods: A rare clinical case of a combination of a foreign body of the esophagus with Zenker's diverticulum and spontaneous pneumothorax on the background of bullous emphysema in a 62-year-old patient is presented.

Conclusions: In a comprehensive examination of patients with both foreign bodies of the esophagus with suspicion of perforation of the latter and spontaneous pneumothorax, an important role is played by performing spiral computed tomography, which allows excluding or confirming the esophagus perforation and determining the primary or secondary nature of pneumothorax, thereby providing an accurate and timely diagnosis and choose the optimal surgical tactics.


Vladimir Ibragimovich Temirbulatov

vtemirbulatov@yandex.ru
ORCID iD: 0000-0003-3757-924X
SPIN-code: 2789-7642
Kursk State Medical University; Kursk regional clinical hospital
Russian Federation, 305041, Russian Federation, Kursk, Karl Marx st., 3;   305007, the Russian Federation, Kursk, Sumskaya str., 45a

MD, Professor of department of surgical diseases, FSEE HE "Kursk State Medical University" MH RF, Head of department of thoracic surgery, BME "Kursk regional clinical hospital"

Maxim Evgenevich Kletkin

Author for correspondence.
kletkin-max@mail.ru
ORCID iD: 0000-0003-3886-5272
SPIN-code: 4536-7001
Kursk regional clinical hospital
Russian Federation, 305007, the Russian Federation, Kursk, Sumskaya str., 45a

Physician of department of thoracic surgery, BME "Kursk regional clinical hospital", competitor of the Department of Surgical Diseases No. 1, FSEE HE "Kursk State Medical University" MH RF

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