Pharyngocele: infrequent etiology of dysphagia
Pharyngocele is a herniation of the lateral wall of the pharynx. It is uncommon and usually goes unnoticed, since it can have a variable size and not even be felt on the physical exam. In some cases it may be bilateral. Dysphagia is one of its most frequent manifestations. The favoring...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/39154 |
| Aporte de: |
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I10-R327-article-39154 |
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Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
Pharyngeal diverticulum dysphagia faringocele trastorno de deglución |
| spellingShingle |
Pharyngeal diverticulum dysphagia faringocele trastorno de deglución Silva Magra, R Mármol, PS Miravet , E Del Piano, E Berastegui, F Anglada, J Assum, F Brain, R Pharyngocele: infrequent etiology of dysphagia |
| topic_facet |
Pharyngeal diverticulum dysphagia faringocele trastorno de deglución |
| author |
Silva Magra, R Mármol, PS Miravet , E Del Piano, E Berastegui, F Anglada, J Assum, F Brain, R |
| author_facet |
Silva Magra, R Mármol, PS Miravet , E Del Piano, E Berastegui, F Anglada, J Assum, F Brain, R |
| author_sort |
Silva Magra, R |
| title |
Pharyngocele: infrequent etiology of dysphagia |
| title_short |
Pharyngocele: infrequent etiology of dysphagia |
| title_full |
Pharyngocele: infrequent etiology of dysphagia |
| title_fullStr |
Pharyngocele: infrequent etiology of dysphagia |
| title_full_unstemmed |
Pharyngocele: infrequent etiology of dysphagia |
| title_sort |
pharyngocele: infrequent etiology of dysphagia |
| description |
Pharyngocele is a herniation of the lateral wall of the pharynx. It is uncommon and usually goes unnoticed, since it can have a variable size and not even be felt on the physical exam. In some cases it may be bilateral. Dysphagia is one of its most frequent manifestations. The favoring factors are the congenital or acquired weakness of the herniated areas and the increase in intrapharyngeal pressure. Age decreases the elasticity of tissues predisposing to their formation. The treatment can be conservative or surgical, depending on the clinic. The objective of this work is to expose a rare disease that manifests with dysphagia, a common symptom in adults.
Clinical case: 63-year-old male patient, APP: diabetes type II, varicose ulcers in the lower limbs and gastritis. A mild dysphagia for 3 to 4 years for solids, it was reported as not progressive. Normal physical exam. Previous complementary studies: normal esophageal-gastroduodenal transit (report, no images), video esophagus-gastroduodenoscopy with congestive antral gastropathy. Biopsy: chronic gastritis. Fibrolaringoscopy was performed observing retro-cricoid edema. In the phonoaudiological assessment it was observed that the discomfort improves with right-hand cephalic flexion. In the functional swallowing evaluation, as regards the three consistencies, it takes between 2 and 4 swallows per bite, with difficulty in the preparatory stage for solids. In contrast fibrolaringoscopy, he presented retention in the left piriformis sinus. The patient's studies and our assessment did not allow us to reach a diagnosis, we requested a video-fluoroscopy. It is performed with liquid, semi-solid and solid barite contrast. In the active phase of the pharyngeal stage, bilateral faringocele was observed. An expectant behavior was considered.
Swallowing disorders are a frequent reason for consultation in adults. Pharyngocele is a rare cause of dysphagia. In fibrolaringoscopy, the herniation orifice may not be observed. Interdisciplinary work is necessary for its assessment, as this case demonstrates.
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| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
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2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/39154 |
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I10-R327-article-391542024-04-15T16:14:45Z Pharyngocele: infrequent etiology of dysphagia Faringocele: etiología infrecuente de disfagia Silva Magra, R Mármol, PS Miravet , E Del Piano, E Berastegui, F Anglada, J Assum, F Brain, R Pharyngeal diverticulum dysphagia faringocele trastorno de deglución Pharyngocele is a herniation of the lateral wall of the pharynx. It is uncommon and usually goes unnoticed, since it can have a variable size and not even be felt on the physical exam. In some cases it may be bilateral. Dysphagia is one of its most frequent manifestations. The favoring factors are the congenital or acquired weakness of the herniated areas and the increase in intrapharyngeal pressure. Age decreases the elasticity of tissues predisposing to their formation. The treatment can be conservative or surgical, depending on the clinic. The objective of this work is to expose a rare disease that manifests with dysphagia, a common symptom in adults. Clinical case: 63-year-old male patient, APP: diabetes type II, varicose ulcers in the lower limbs and gastritis. A mild dysphagia for 3 to 4 years for solids, it was reported as not progressive. Normal physical exam. Previous complementary studies: normal esophageal-gastroduodenal transit (report, no images), video esophagus-gastroduodenoscopy with congestive antral gastropathy. Biopsy: chronic gastritis. Fibrolaringoscopy was performed observing retro-cricoid edema. In the phonoaudiological assessment it was observed that the discomfort improves with right-hand cephalic flexion. In the functional swallowing evaluation, as regards the three consistencies, it takes between 2 and 4 swallows per bite, with difficulty in the preparatory stage for solids. In contrast fibrolaringoscopy, he presented retention in the left piriformis sinus. The patient's studies and our assessment did not allow us to reach a diagnosis, we requested a video-fluoroscopy. It is performed with liquid, semi-solid and solid barite contrast. In the active phase of the pharyngeal stage, bilateral faringocele was observed. An expectant behavior was considered. Swallowing disorders are a frequent reason for consultation in adults. Pharyngocele is a rare cause of dysphagia. In fibrolaringoscopy, the herniation orifice may not be observed. Interdisciplinary work is necessary for its assessment, as this case demonstrates. El faringocele es una herniación de la pared lateral de la faringe. Es infrecuente y suele pasar desapercibido, ya que puede tener un tamaño variable e incluso no palparse en el examen físico. En algunos casos puede ser bilateral. La disfagia es una de sus manifestaciones más frecuentes. Los factores favorecedores son la debilidad congénita o adquirida de las áreas herniarias y el aumento de presión intrafaríngea. La edad disminuye la elasticidad de los tejidos predisponiendo a su formación. El tratamiento puede ser conservador o quirúrgico dependiendo de la clínica. El objetivo de este trabajo es exponer una enfermedad de rara presentación que se manifiesta con disfagia, síntoma frecuente en adultos. Presentación del caso: paciente de sexo masculino de 63 años, APP: diabetes tipo II, úlceras varicosas en miembros inferiores y gastritis. Refiere disfagia leve desde hace 3 a 4 años para sólidos, no progresiva. Examen físico otorrinolaringológico normal. Estudios complementarios previos: tránsito esófago-gastroduodenal normal (informe, no tiene imágenes), video esófago-gastroduodenoscopia con gastropatía antral congestiva. Biopsia: gastritis crónica. Se realizó fibrolaringoscopia observándose edema retro-cricoideo. En la valoración fonoaudiológica se observó que la molestia mejora con flexión cefálica a derecha. En la evaluación funcional deglutoria realiza para las tres consistencias entre 2 y 4 degluciones por bocado, con dificultad en etapa preparatoria para sólidos. En la fibrolaringoscopia con contraste presentó retención de este en seno piriforme izquierdo. Dado que la clínica, los estudios del paciente y nuestra valoración no nos permitieron llegar a un diagnóstico solicitamos video-fluoroscopía. Se realiza la misma con contraste baritado líquido, semisólido y sólido. En fase activa de la etapa faríngea se observa faringocele bilateral. Se decide conducta expectante. Los trastornos de la deglución son un motivo de consulta frecuente en el adulto. El faringocele es una causa rara de disfagia. En la fibrolaringoscopia puede no observarse el orificio de herniación. Es necesario el trabajo interdisciplinario para su valoración, como lo demuestra este caso. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-10-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/39154 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. Suplemento JIC XXIII (2022): Suplemento JIC XXIII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |