PMC7306510_01
Preoperative CT scan. 1 : pneumothorax 2 : atelectasia 3 : pleural effusion.
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A CT scan showed a right hydropneumothorax and hydromediastinum (Fig. 1).
Upper GI study : the red arrows indicated the origin of the Zenker's diverticulum perforation and opacification reveals a large retro-oesophageal cavity.
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An upper GI study was nevertheless performed and allowed to confirm the hypothesis of a Zenker's diverticulum perforation (Fig. 2).
Peroperative photograph : the site of perforation of the Zenker's diverticulum is identified with the help of a nasogastric tube (not shown on this picture) and complete dissection of the diverticulum is performed before stapling. 1 : perforated diverticulum 2 : cervical oesophagus.
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We performed a resection of the Zenker's diverticulum by stapling, a cricomyotomy and a mediastinal drainage by left cervicotomy (Fig. 3).
Postoperative upper GI study : no leak or stenosis; multitubular drainage in front of the suture.
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