Abstract

NAPOLES VALDES, Mirian Belkis; CHONGO GOMEZ, Yenisley; LORENZO CASTILLO, Francisco  and  PEREZ RODRIGUEZ, Oscar D. Ptyialism as an atypical clinical presentation of Zencker diverculum: a case report. Gac Méd Espirit [online]. 2014, vol.16, n.3, pp.01-06. ISSN 1608-8921.

Background: Zencker diverculum is relatively infrequent, it can be presented with typical symptomatologies of the disease or with other atypical manifestations, as ptyalism or sialorrhea. Objective: to describe ptyalism or crisis of sialorrhea as a non-habitual presentation of Zencker diverculum. Case presentation: a 60 year-old male patient who attended the gastroenterology consultation as he was suffering from excessive salivation or sialorrhea since a year ago, sometimes along regurgitations and acidity. The contrasted oesophagogram was among the diagnostic means used, through which a Zencker diverculum was diagnosed. A left lateral cervicotomy with diverculum resection and ligature of its base was performed. Conclusions: the clinical method is the key to suspect the diagnosis of Zencker diverculum though its clinical presentation is infrequent and atypical as it is ptyalism or sialorrhea.

Keywords : Zencker diverculum; ptyalism; sialorrhea.

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