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Multiple esophageal diverticulae

Case contributed by Dr Vikas Shah


Elderly man with mild dysphagia.

Patient Data

Age: 75
Gender: Male

Barium swallow

On this barium swallow study, there are multiple outpouchings from the mid and distal esophagus. 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 esophagus.

Case Discussion

This is a case of multiple esophageal diverticulae. In the mid esophagus, these are divided into true and false diverticulae: true diverticulae are secondary to traction from outside the esophagus 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 esophageal diverticulae.

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Case information

rID: 35149
Published: 25th Mar 2015
Last edited: 24th Nov 2020
Inclusion in quiz mode: Included

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