Epiphrenic diverticulum

Case contributed by Dr Henry Knipe

Presentation

Three days of epigastric/RUQ pain with post-prandial nausea on a background of gastric band surgery two years ago.

Patient Data

Age: 37
Gender: Female
Fluoroscopy

Contrast swallow

Contrast passes easily through the gastric band with no hold-up. Proximal to the gastric band there is a small diverticulum that completely empties, this is best appreciated on the oblique view. There is tertiary peristalsis in the oesophagus, which may be secondary to the gastric band. Note of contrast in the large bowel from prior CT with oral contrast. 

Case Discussion

Epiphrenic diverticulum are most commonly associated with oesophageal motility disorders associated with achalasia

Rarely, epiphrenic diverticulum associated with gastric bands may develop. Oesophageal motility disorders are a known complication from gastric bands and morbidly obese patients also have increased oesophageal manometric abnormalities 1. The position of the gastric band may also contribute to oesophageal motility disorders. 

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Case information

rID: 22672
Case created: 15th Apr 2013
Last edited: 9th Dec 2015
Inclusion in quiz mode: Included

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