Presentation
Dysphagia.
Patient Data
Age: 45 years
Gender: Male
From the case:
Epiphrenic diverticulum
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Transient marginal irregularity is present in the distal half oesophagus suggestive of motility disorder.
A small epiphrenic diverticulum is also seen before the lower oesophageal sphincter.
There are no typical signs in favour of achalasia. However, contrast media stasis is present even in a delayed 5-minute image.
Case Discussion
Epiphrenic diverticula are pulsion diverticula of the distal oesophagus, less frequent than traction mid-oesophageal diverticula. A single contrast oesophagogram, including prone right anterior oblique views of the distal oesophagus, is the best imaging method for diagnosis.
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