Traction oesophageal diverticulum

Last revised by Joshua Yap on 26 May 2023

A traction oesophageal diverticulum is a true oesophageal diverticulum (i.e. includes all layers of the oesophageal wall) which occurs secondary to external pulling/traction forces on the oesophageal wall.

Pathology

Aetiology
  • pulmonary/mediastinal scarring or fibrosis

  • inflammatory processes in the mediastinum: e.g. tuberculous adenitis

Radiographic features

Unlike rounded pulsion diverticula (e.g. Zenker or Killian-Jamieson diverticula), a traction diverticulum is triangular or polygonal in shape, and broad-mouthed 1.

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