Zenker's diverticulum x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ajay Gade MD [2]]

Overview

An x-ray (barium esophagogram) is the best initial imaging study in a patient suspected with Zenker's Diverticulum (ZD). Findings on an x-ray (barium esophagogram) suggestive of esophageal diverticulum associated with ZD appear as thin projections on the anterior esophageal wall over the Killian's triangle.

An x-ray (barium esophagogram) is the best initial imaging study in a patient suspected with Zenker's Diverticulum (ZD). Findings on an x-ray (barium esophagogram) suggestive of esophageal diverticulum associated with ZD appear as thin projections on the anterior esophageal wall over the Killian's triangle.

A simple barium swallow will normally reveal the diverticulum. Endoscopy should not be performed due to the risk of perforating the diverticulum.

Barium swallow graphy: Zenker's diverticulum-Frontal view
Source:Radiopaedia^[1]
Barium swallow graphy: Zenker's diverticulum-Oblique view
Source:Radiopaedia^[2]
Barium swallow graphy: Zenker's diverticulum-Frontal view
Source:Radiopaedia^[3]
Barium swallow graphy: Zenker's diverticulum-Lateral view
Source:Radiopaedia^[4]

Barium swallow graphy: Zenker's diverticulum- Lateral view
Source:Radiopaedia^[5]
Barium swallow graphy: Zenker's diverticulum- Frontal view
Source:Radiopaedia^[6]