A 41 year old professional bodybuilder presented with worsening dysphagia and regurgitation. Neck examination and flexible nasolaryngoscopy were unremarkable, but a barium swallow showed an unusual wide mouthed and bilobed pharyngeal pouch. A pharyngeal pouch (or Zenker’s diverticulum) characteristically occurs just above the cricopharyngeus muscle at an area of potential weakness. Although more common in… Read More