PMC5396435_01
Preoperative barium swallow showing two moderate-sized diverticula.
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Imaging revealed bilateral moderately sized diverticuli that altered in size during differing phases of swallow (Figure 1).
Noncontrast CT scan of the neck showing the bilateral pouches.
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The diverticuli were located higher and more lateral than expected for the known types of pouches, prompting a CT scan of the neck with oral contrast (Figure 2) to determine the anatomy of the diverticuli in relation to the neck structures.
Postoperative barium swallow portraying marked improvement in the contour of the pharynx since the previous study with only mild residual ectasia of the superior lateral left wall of the pharynx.
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Unfortunately, swallowing deteriorated again at 3 months, and a repeat barium swallow was performed (Figure 3), showing that the diverticuli were well-treated but suggesting that cricopharyngeal spasm may be causing ongoing dysphagia.