Pharyngeal pouch

Pharyngeal pouch

Infobox_Disease
Name = PAGENAME


Caption =
DiseasesDB = 9922
ICD10 = ICD10|Q|38|7|q|38
ICD9 = ICD9|750.27
ICDO =
OMIM =
MedlinePlus =
eMedicineSubj =
eMedicineTopic =
MeshID =
In gastroenterology, a pharyngeal pouch is a pathological pulsion diverticulum of the pharyngeal mucosa through Killian's dehiscence. Killian's dehiscence (also known as Killian's triangle) is a triangular area in the wall of the pharynx between the inferior constrictor muscle and the cricopharyngeus muscle. It represents a potentially weak spot where a pharyngoesophageal diverticulum (Zenker's diverticulum) is more likely.

At first, the pouch develops posteriorly but then it protrudes to one side, usually the left. It displaces the oesophagus laterally as it enlarges.

Incidence

Uncommon.

Risk factors

Male, old age.
Trumpet playing.

igns and symptoms

* Dysphagia (first mouthful easily swallowed but further swallowing prevented, with regurgitation of pouch contents)
* Night-time fits of coughing.
* Repeated chest infections.
* Palpable swelling in neck which may be heard to gurgle.

Investigations

* Barium swallow.
* Endoscopy should be avoided as the pouch can be easily perforated.

Management

Surgical excision of the pouch. Normal feeding delayed until complete healing of wound, which may take at least five days.

Complications

Fistula, mediastinitis, inhalation pneumonia and damage to recurrent laryngeal nerve

Notable Example

Trumpeter Randy Sandke suffered this injury as a teenager, underwent surgery, took 10 years off the trumpet, and resumed playing.

References

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Look at other dictionaries:

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  • pharyngeal pouch. — See branchial pouch. * * * …   Universalium

  • pharyngeal pouch. — See branchial pouch …   Useful english dictionary

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  • Pharyngeal groove — Pattern of the branchial arches. I IV branchial arches, 1 4 branchial pouches (inside) and/or pharyngeal grooves (outside) a Tuberculum laterale b Tuberculum impar c Foramen cecum d Ductus thyreoglossus e Sinus cervicalis …   Wikipedia

  • pouch´like´ — pouch «powch», noun, verb. –n. 1. a bag; sack: »a mailman s pouch, a pouch of tobacco. 2. a small bag to hold money: »a poor devil without penny in pouch (Washington Irving). 3. a bag for carrying documents: » …   Useful english dictionary

  • pharyngeal arch — n BRANCHIAL ARCH * * * (branchial arch, visceral arch) any of the paired segmented ridges of tissue in each side of the throat of the early embryo that correspond to the gill arches of fish. Each arch contains a cartilage, a cranial nerve, and a… …   Medical dictionary

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