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Esophageal intramural pseudodiverticulosis with esophageal strictures successfully treated with dilation therapy.

Teraishi F, Fujiwara T, Jikuhara A, Kamitani S, Morino Y, Sato K, Tanaka N

Division of Surgical Oncology, Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan. f-tera@md.okayama-u.ac.jp

We report a rare case of esophageal intramural pseudodiverticulosis with esophageal strictures. Barium esophagogram demonstrated multiple flask-shaped diverticula out of the esophageal wall with comprehensive luminal stenosis involving the proximal 8 cm and distal 4 cm of the esophagus. Chest computed tomographic scan demonstrated round wall thickening and several intramural gas collections of the proximal esophagus. Endoscopy revealed a fibrotic stricture and multiple small orifices of pseudodiverticula with mild inflammatory changes. Biopsy specimens showed active chronic inflammatory changes of the mucosa with candidiasis. Dysphagia improved dramatically with esophageal dilation. However, the tiny diverticula did not resolve after treatment.

Published 24 August 2006 in Ann Thorac Surg, 82(3): 1119-21.
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