Multiple oesophageal diverticulae

Case contributed by Dr Vikas Shah

Presentation

Elderly man with mild dysphagia.

Patient Data

Age: 75
Gender: Male

Barium swallow

Modality: Barium

On this barium swallow study, there are multiple outpouchings from the mid and distal oesophagus. Barium is seen to pool within the outpouchings. Barium is also seen within the stomach indicating there is no complete obstruction, and the images taken during the swallow indicated no stricture. Some tertiary contractions were seen, indicating a degree of dysmotility. There were no similar outpouchings noted involving the upper oesophagus.

Case Discussion

This is a case of multiple oesophageal diverticulae. In the mid oesophagus, these are divided into true and false diverticulae: true diverticulae are secondary to traction from outside the oesophagus which creates a pulling force on the wall (for example, in scarring and fibrosis in the mediastinum from old TB); and false diverticulae which are secondary to raised intraluminal pressures and are also named pulsion diverticulae. This particular case was one of multiple false or pulsion oesophageal diverticulae.

PlayAdd to Share

Case Information

rID: 35149
Case created: 24th Mar 2015
Last edited: 28th Oct 2015
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.