Epiphrenic diverticulum

Case contributed by Dr Ian Bickle

Presentation

Dysphagia to solid foods with upper abdominal discomfort.

Patient Data

Age: 71
Gender: Female
Fluoroscopy

Large wide necked diverticulum arising several centrimetres proximal to the GOJ.

The diverticulum contains a progressively filling air fluid-level following barium consumption.

Normal calibre oesophagus - no stricture.

No hiatus hernia.

Case Discussion

Epiphrenic diverticula are pulsion diverticula of the distal oesophagus arising just above the lower esophageal sphincter.

They typically arise in the context of oesophageal dysmotility, and often in conjunction with a hiatus hernia.

Minimally invasive surgical treatment for symptomatic patients are now available via thorascopic or laproscopic approaches. 

 

PlayAdd to Share

Case information

rID: 32501
Case created: 28th Nov 2014
Last edited: 30th Jan 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.