ESOPHAGEAL DIVERTICULUM AS A CAUSE OF ASPIRATION PNEUMONIA: A CASE REPORT

Authors

DOI:

https://doi.org/10.31435/ijitss.1(49).2026.4953

Keywords:

Aspiration Pneumonia, Esophageal Diverticulum, Case Report, Recurrent Respiratory Infections

Abstract

Aspiration pneumonia is a clinically significant condition that may result from unrecognized structural or functional abnormalities of the upper gastrointestinal tract. Esophageal diverticula, although often asymptomatic, can predispose patients to recurrent aspiration and serious pulmonary complications. This case report describes a 59-year-old female patient admitted with recurrent lower respiratory tract infections of unclear etiology. Comprehensive clinical assessment, laboratory testing, and radiological imaging revealed aspiration pneumonia secondary to a large esophageal diverticulum. Targeted antibiotic therapy was initiated, and the patient was referred for definitive surgical treatment. This case highlights the importance of considering gastrointestinal causes in patients with recurrent pneumonia and emphasizes the role of an interdisciplinary diagnostic approach.

References

Marik PE. Aspiration pneumonitis and aspiration pneumonia. N Engl J Med. 2001;344(9):665–671. PMID: 11228282. doi:10.1056/NEJM200103013440908.

Mandell LA, Niederman MS. Aspiration pneumonia. N Engl J Med. 2019;380(7):651–663. PMID: 30763196. doi:10.1056/NEJMra1714562.

Bizzotto A, Iacopini F, Landi R, Costamagna G. Zenker’s diverticulum: exploring treatment options. Acta Otorhinolaryngol Ital. 2013;33(4):219–229. PMID: 24179631.

Cook IJ, Blumbergs P, Cash K, et al. Structural abnormalities of the pharynx in Zenker’s diverticulum. Gut.1992;33(4):494–498. PMID: 1582591. doi:10.1136/gut.33.4.494.

Herbella FA, Patti MG. Achalasia and epiphrenic diverticulum. World J Surg. 2015;39(7):1620–1624. PMID: 25609117. doi:10.1007/s00268-015-3001-1.

Almirall J, Rofes L, Serra-Prat M, et al. Oropharyngeal dysphagia is a risk factor for community-acquired pneumonia in the elderly. Eur Respir J. 2013;41(4):923–928. PMID: 22903971. doi:10.1183/09031936.00019012.

Yang J, Novak S, Ujiki MB. Endoscopic management of Zenker diverticulum. World J Gastroenterol.2015;21(12):3814–3820. PMID: 25834325. doi:10.3748/wjg.v21.i12.3814.

Repici A, Pagano N, Romagnoli F, et al. Endoscopic flexible treatment of Zenker’s diverticulum: a modification of the needle-knife technique. Endoscopy. 2010;42(7):532–535. PMID: 20419618. doi:10.1055/s-0029-1244122.

Downloads

Published

2026-02-24

How to Cite

ESOPHAGEAL DIVERTICULUM AS A CAUSE OF ASPIRATION PNEUMONIA: A CASE REPORT. (2026). International Journal of Innovative Technologies in Social Science, 1(1(49). https://doi.org/10.31435/ijitss.1(49).2026.4953