Oesophageal diverticula

Case contributed by Dr Domenico Nicoletti

Presentation

Two years of halitosis (with rumination after meals) and pulmonary inflammation.

Patient Data

Age: 55 years
Gender: Female
CT

Thorax CT before and after MDC for OS

The esophagus is canalized.

On the right side of the esophagus are visible two diverticula, one in the middle thoracic, just below the bronchial bifurcation and the other, larger, with ingests in the lumen, in epi diaphragmatic.

There is parenchyma disventylated in the lower lobe of the right lung.

 

Case Discussion

Many diverticula, especially if small, may be asymptomatic, or there may be symptoms not related to the diverticulum, but to the motor dysfunction that caused it. The most frequent symptoms are dysphagia and regurgitation.

Epiphrenic diverticula can also cause dysphagia and regurgitation.

The diverticula of the middle thoracic oesophagus are generally asymptomatic.

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Case information

rID: 57511
Published: 30th Dec 2017
Last edited: 17th Jan 2018
Inclusion in quiz mode: Included

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