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患者男,62岁,进食噎异物感10余天,声嘶2天来院.无发烧、胸痛、咳嗽、食物返流等症状.查体无明显异常.喉镜检查,声带正常.胸部X线片示双肺纹理增强.食管镜检:食管上段左后侧壁一扁圆形裂隙,约2.0×1.0cm,四周形成皱襞样隆起,边缘不整,充血水肿,内充满污秽食糜和粘液.注水冲洗,方显出一腔较阔、底较深的憩室,腔与边缘粘膜颜色一致,底部附污秽白苔,接触易出血.活检病理示溃疡与坏死组织,未见癌细胞.食管吞钡X线检查:充盈相见食管上段呈囊袋状向左后方突出阴影,直径1.5cm,深2.0cm,边缘欠光滑.当食管排空后,囊袋状影仍存在,右侧卧位片刻,影变浅.
Male, 62 years old, eating 噎 foreign body sensation for more than 10 days, hoarseness for 2 days to the hospital. No fever, chest pain, cough, food reflux and other symptoms. Physical examination showed no abnormalities. Laryngoscopy, normal vocal cords. Esophageal microscopy: an upper esophagus on the left posterior wall of a flat round fissure, about 2.0 × 1.0cm, around the formation of folds like uplift, the edge of the whole, congestion and edema, filled with filthy minced and mucus .Flooding rinse, Side showed a wide, deep at the end of the diverticulum, cavity and mucosal edge of the same color, the bottom with dirty white moss, contact bleeding easily biopsy showed ulcers and necrotic tissue, no cancer cells. Barium swallow esophageal X-ray examination : Filling the upper esophageal pocket was prominent to the left rear shadow, diameter 1.5cm, 2.0cm deep, less smooth edges .When esophageal emptying, the pouch shadow still exists, the right lateral position for a moment, shadow shallow .