Presentation
Dysphagia to solid foods with upper abdominal discomfort.
Patient Data
Age: 71
Gender: Female
From the case:
Epiphrenic diverticulum
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Large wide necked diverticulum arising several centrimetres proximal to the GEJ.
The diverticulum contains a progressively filling air fluid-level following barium consumption.
Normal caliber esophagus - no stricture.
No hiatus hernia.
Case Discussion
Epiphrenic diverticula are pulsion diverticula of the distal esophagus arising just above the lower esophageal sphincter.
They typically arise in the context of esophageal dysmotility, and often in conjunction with a hiatus hernia.
Minimally invasive surgical treatment for symptomatic patients are now available via thorascopic or laproscopic approaches.
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