Oral cavity & tongue · Pharynx & upper aerodigestive · 2020

A dilemma of a case of Zenker diverticulum; leak or Acinetobacter baumannii?! A case report

المؤلفون

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Twana M Ameen
Safeen O Mahmood
Fahmi H Kakamad
Bahman L Fathulla
Tomas M Mikael
Imad J Habibullah
Shvan H Mohammed
Rawezh Q Salih
Suhaib H Kakamad

المستخلص

IntroductionZenker’s diverticulum is an acquired mucosal pulsion of the upper esophagus. The aim of this paper is to report a case of Zenker’s diverticulum with a complicated postoperative course including infection by Acinetobacter baumannii causing diagnostic as well as management dilemma.Case reportA 43-year-old male complained from dysphagia for three months. Barium swallow revealed Zenker’s diverticulum.

Under general anesthesia, the small Zenker’s diverticulum was ligated and myotomy was done. He developed erythematous swelling at the site of the operation. The patient was taken to the operation theater.

The esophagus was tested, no trace of leak was found. The patient developed cardiac arrest. He was admitted to the intensive care unit and remained there for twenty eight days.

Bronchial wash culture showed Acinetobacter baumannii. The patient was on antibiotic, supportive treatment and …