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Esophageal obstruction secondary to a large epiphrenic diverticulum: A case report.

Author

Atenodoro  R. Ruiz Jr.,
William  M. Steinberg

Related Institution

Institute of Digestive Diseases - St. Luke's Medical Center

George Washington University Medical Center

Publication Information

Publication Type
Journal
Publication Sub Type
Case report
Title
Philippine Journal of Internal Medicine
Frequency
Bimonthly
Publication Date
March-April 2004
Volume
42
Issue
2
Page(s)
95-97

Abstract

OBJECTIVES: 1. To present a case of a patient with a large epiphrenic diverticulum manifesting as esophageal obstruction. 2. To consider esophageal diverticula as a differential diagnosis of esophageal malignancy. 3. To discuss the clinical presentation, diagnosis, and management of epiphrenic diverticula.


SETTING: A tertiary care university hospital


CASE SUMMARY: Epiphrenic diverticula are rare, and located within 10 cm. from the gastroesophageal junction. These usually arise as result of esophageal motility disorders. A 71 year-old female presented with progressive dysphagia for solids and liquids with subsequent esophageal obstruction. Esophageal malignancy was suspected, but a large epiphrenic diverticulum was diagnosed with a barium esophagogram and esophagoscopy. She underwent left thoracotomy, with diverticulectomy, esophageal myotomy, and fundoplication. She had resolution of her symptoms post-operatively. Esophageal diverticula should always be considered in patients presenting with dysphagia. Only symptomatic patients require surgery.

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box no. 48 Fulltext Print Format

 
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