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Actuality: A rare combination of a foreign body of the esophagus with Zenker's diverticulum and spontaneous pneumothorax can be mistakenly regarded as clinical and radiologic manifestations of perforation of the cervical esophagus, a dangerous condition requiring emergency surgery. Objective: On the clinical example, to show the importance of an integrated approach in the examination of patients with foreign bodies of the esophagus to exclude the perforation of the esophagus. Materials and methods: A rare clinical case of a combination of a foreign body of the esophagus with Zenker's diverticulum and spontaneous pneumothorax on the background of bullous emphysema in a 62-year-old patient is presented. Conclusions: In a comprehensive examination of patients with both foreign bodies of the esophagus with suspicion of perforation of the latter and spontaneous pneumothorax, an important role is played by performing spiral computed tomography, which allows excluding or confirming the esophagus perforation and determining the primary or secondary nature of pneumothorax, thereby providing an accurate and timely diagnosis and choose the optimal surgical tactics.

A rare case of combining foreign body of the esophagus with the Zenker’s diverticulum and primary spontaneous pneumothorax