case_images: PMC10405809_01
case_images: Barium swallow showing (A) Diverticulum from the cervical esophagus; (B) Short segment narrowing in the distal esophagus with upstream dilatation
case_images: ejohg-13-32-g001.jpg
case_images: PMC10405809_01_ejohg-13-32-g001.jpg
case_images: F1
case_images: Barium swallow showed a 3 cm x 2 cm sized diverticulum from the right lateral wall of the cervical esophagus and a short segment narrowing in the distal esophagus with upstream dilation (Fig. 1).
case_images: Computer tomogram scan of neck and thorax showing (A) Homogenous circumferential wall thickening in the distal esophagus with no significant lymph node enlargement; (B) Diverticulum situated below the level of the cricoid cartilage; (C) Diverticulum seen arising from the right lateral wall of the cervical esophagus
case_images: ejohg-13-32-g002.jpg
case_images: PMC10405809_01_ejohg-13-32-g002.jpg
case_images: F2
case_images: Hence a computed tomography (CT) scan of the neck and thorax was done, which confirmed KJD and showed a homogenous circumferential wall thickening in the lower esophagus with no significant periesophageal lymph nodes (Fig. 2).
case_images: Endoscopy images (A) Arrowhead pointing the diverticulum, broad arrow showing the intervening septum, and long slender arrow pointing the esophageal lumen; (B) Arrow pointing to the tight stricture in the distal esophagus; (C) Dilatation of the stricture using controlled radially expanding balloon; (D) Post dilatation view of the stricture
case_images: ejohg-13-32-g003.jpg
case_images: PMC10405809_01_ejohg-13-32-g003.jpg
case_images: F3
case_images: Esophagogastroduodenoscopy revealed KJD at 20 cm from incisors and a tight stricture at the lower esophagus beyond which the endoscope was not negotiable (Fig. 3). The stricture was dilated with a controlled radial expansion (CRE) balloon up to 12 mm (Fig. 3).