Presentation
History of dysphagia to solids. Malnutrition. Gastroscopy – esophageal diverticulum in lower 1/3 esophagus. Esophagitis. Oesophgeal spasm. ?cause of dysphagia.
Patient Data
Age: 75 years
Gender: Female
From the case:
Epiphrenic diverticulum
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Within the mid-distal esophagus there are some primary waves of peristalsis seen, however no secondary waves were visualized. Tertiary waves were identified. Overall there was marked dysmotility of peristaltic movements, with mildly delayed passage of contrast.
Within the distal third of the esophagus there is an hour-glass shaped posteriorly projected epiphrenic diverticulum. The diverticulum appears stable.
Case Discussion
A classic appearing epiphrenic diverticulum, with associated dysmotility of the esophagus.
They are associated with:
- achalasia and other forms of neuromuscular dysfunction of the esophagus
- hiatus hernia
- esophageal stricture
- esophageal web
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