Zenker's Diverticulum in A Female Patient, Surgical Treatment: Case Report

Zenker’s diverticulum is a herniation of the esophageal mucosa and submucosa through Killian’s triangle, classified as a false diverticulum. Its etiology is associated with dysfunction of the upper esophageal sphincter, leading to progressive dysphagia, regurgitation, and a risk of aspiration pneumonia. Diagnosis is made through a barium esophagogram, and treatment varies between endoscopic and surgical approaches, depending on the diverticulum’s size and symptoms. We present the case of a 78-year-old female with progressive dysphagia and regurgitation, diagnosed with zenker’s diverticulum. She underwent cricopharyngeal myotomy and diverticulopexy via an open approach, with favorable evolution, progressive clinical improvement, and complete symptom resolution at three months postoperatively.