Snapshot A 59-year-old man presents to the clinic for complaints of bad breath and recurrent coughing spells. He complains difficulty swallowing at times and is noted to have a moderately sized neck mass during physical examination. Introduction False diverticulum (sac-like outpouching of only the mucosa and submucosa) of the esophagus login to view 1 more bullet Epidemiology login to view 7 more bullets Pathogenesis login to view 4 more bullets Prognosis login to view 2 more bullets Presentation Symptoms login to view 5 more bullets Physical exam login to view 1 more bullet Imaging Barium swallow login to view 2 more bullets Transcutaneous ultrasound login to view 2 more bullets Esophageal manometry login to view 2 more bullets Differential Achalasia login to view 2 more bullets Diffuse esophageal spasm login to view 2 more bullets Treatment Conservative treatment login to view 1 more bullet Operative login to view 4 more bullets Complications Aspiration pneumonia Squamous cell carcinoma of the diverticulum login to view 1 more bullet Ulceration and bleeding Increased risk of iatrogenic perforation