PMC10405809_01
Barium swallow showing (A) Diverticulum from the cervical esophagus; (B) Short segment narrowing in the distal esophagus with upstream dilatation
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F1
Barium swallow showed a 3 cm x 2 cm sized diverticulum from the right lateral wall of the cervical esophagus and a short segment narrowing in the distal esophagus with upstream dilation (Fig. 1).
Computer tomogram scan of neck and thorax showing (A) Homogenous circumferential wall thickening in the distal esophagus with no significant lymph node enlargement; (B) Diverticulum situated below the level of the cricoid cartilage; (C) Diverticulum seen arising from the right lateral wall of the cervical esophagus
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F2
Hence a computed tomography (CT) scan of the neck and thorax was done, which confirmed KJD and showed a homogenous circumferential wall thickening in the lower esophagus with no significant periesophageal lymph nodes (Fig. 2).
Endoscopy images (A) Arrowhead pointing the diverticulum, broad arrow showing the intervening septum, and long slender arrow pointing the esophageal lumen; (B) Arrow pointing to the tight stricture in the distal esophagus; (C) Dilatation of the stricture using controlled radially expanding balloon; (D) Post dilatation view of the stricture
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F3
Esophagogastroduodenoscopy revealed KJD at 20 cm from incisors and a tight stricture at the lower esophagus beyond which the endoscope was not negotiable (Fig. 3). The stricture was dilated with a controlled radial expansion (CRE) balloon up to 12 mm (Fig. 3).