GIANT ZENKER’S DIVERTICULA

Zenker’s Diverticula (ZD) is one of the most common diverticula of the gastrointestinal tract and mostly seen in the elderly population. The reported incidence in the general population ranges 0.01-0.11%. This is basically a false and pulsion diverticula having only mucosal and submucosal layers. ZD arises from inherent weak point in the upper posterior oesophageal wall termed as Killian’s triangle formed by oblique fibers of inferior pharyngeal constrictor muscle and cricopharyngeus muscle. The presentation of diverticula are mainly progressive dysphagia, regurgitation, halitosis, malnutrition and rarely bleeding. We report a case of large or massive ZD presented with relative less severe symptoms even after having mass effect over the adjacent oesophagus and trachea. This is uncommon finding for such ZD. The presentation was only progressive dysphagia and weight loss and diagnosed by Barium swallow and CT Esophagogram.