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 caliber esophagus - no stricture.

No hiatus hernia.

Case Discussion

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

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

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

 

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Case information

rID: 32501
Published: 30th Nov 2014
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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