This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Surgery
in the condition shown above what is the most complication ? 
Select and explain. 
A. aspirational pneumonia, B. lung abscess, C. esophageal carcinoma, D. tracheal obstruction
A: aspirational pneumonia
Answer: A: aspirational pneumonia 
Explanation: image shown is zenkers diveiculum m/c complication is ASPIRATION > LUNG ABSCESS Symptoms of Zenker&;s Diveiculum * Sensation of food sticking in the throat * Coughing after eating * Dysphagia * Regurgitation of undigested food hours after eating * Special maneuvers needed to dislodge food * Halitosis, due to trapping of paially digested food * Aspiration of food paicles * Unexplained weight loss * Borborygmi (gurgling noises) in the neck Common Treatments * Surgery is a common treatment * Diveiculopexy--surgical obliteration or fixation of a diveiculum * Staple diveiculostomy * Excision combined with cricopharyngeal myotomy--treatment involves relieving the source of resistance by cutting the upper esophageal sphincter (cricopharyngeal myotomy) and removing the diveiculum (diveiculectomy) * Many patients learn to empty the diveiculum by applying gentle manual pressure to the side of the neck * Others adjust their dietary intake to exclude foods such as peas or corn kernels that easily lodge in the diveiculum ref : bailey and love 27th ed