Esophageal intramural pseudodiverticulosis

Case contributed by Andres Turchetti
Diagnosis almost certain



Patient Data

Age: 45 years

Composite images of three spot radiographs during an oesophagram.

In the first image, tiny "flask-shaped" outpouchings "float" outside the esophagus, compatible with esophageal pseudodiverticulosis.

Coned-in image of the pseudodiverticula.

Case Discussion

Multiple small pseudodiverticula around the midoesophagus, proximal to a peptic stricture, consistent with esophageal intramural pseudodiverticulosis

In addition to strictures, esophageal pseudodiverticula are associated with esophageal candidiasis and esophageal carcinoma.

The pseudodiverticula cannot be seen on endoscopy.

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