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Submitted: 16 May 2007 Modified: 05 July 2018
HERDIN Record #: PCHRDPC050222

Esophageal obstruction secondary to a large epiphrenic diverticulum: A case report.

1 Atenodoro  R. Ruiz Jr.,
2 William  M. Steinberg
Institute of Digestive Diseases - St. Luke's Medical Center,
George Washington University Medical Center

Abstract

OBJECTIVES: 1. To present a case of a patient with a large epiphrenic diverticulum manifesting as esophageal obstruction. 2. To consider esophageal diverticula as a differential diagnosis of esophageal malignancy. 3. To discuss the clinical presentation, diagnosis, and management of epiphrenic diverticula.


SETTING: A tertiary care university hospital


CASE SUMMARY: Epiphrenic diverticula are rare, and located within 10 cm. from the gastroesophageal junction. These usually arise as result of esophageal motility disorders. A 71 year-old female presented with progressive dysphagia for solids and liquids with subsequent esophageal obstruction. Esophageal malignancy was suspected, but a large epiphrenic diverticulum was diagnosed with a barium esophagogram and esophagoscopy. She underwent left thoracotomy, with diverticulectomy, esophageal myotomy, and fundoplication. She had resolution of her symptoms post-operatively. Esophageal diverticula should always be considered in patients presenting with dysphagia. Only symptomatic patients require surgery.

1.
Publication Type:
Journal
Publication Sub Type:
Case report
Title:
Philippine Journal of Internal Medicine
Frequency:
Bimonthly
Publication Date:
March-April 2004
Volume:
42
Issue:
2
Page(s):
95-97
Publisher:
Philippine College of Physicians

LocationCall NumberAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box no. 48 Fulltext Print Format (Request Document)