Epiphrenic diverticulum

Case contributed by Dr Alexandra Stanislavsky

Presentation

Reflux disease

Patient Data

Age: 55
Gender: Female
Modality: Fluoroscopy

There is an esophageal outpouching just above the diaphragm, clearly separate from the gastric fundus - which is below the diaphragm.  On the earlier images, it was seen to fill fairly gradually with contrast, indicating the presence of retained food contents.

Case Discussion

This case demonstrates a typical epiphrenic diverticulum.  It is a pulsion diverticulum - or rather pseudodiverticulum as it lacks a muscularis layer.  Although there is no known or demonstrable motility disorder in this case, this is a frequent association of epiphrenic diverticula.

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Case Information

rID: 20257
Case created: 8th Nov 2012
Last edited: 18th Mar 2016
Inclusion in quiz mode: Included

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