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Esophageal epiphrenic diverticulum associated with diffuse esophageal spasm.
Int J Surg Case Rep 2015; 13:79-83IJ

Abstract

INTRODUCTION

Esophageal diverticulum, a relatively rare condition, has been considered to be associated with motor abnormalities such as conditions that cause a lack of coordination between the distal esophagus and lower esophageal sphincter.

PRESENTATION OF CASE

We herein report a case of esophageal epiphrenic diverticulum associated with diffuse esophageal spasm. A 73-year-old woman presented with dysphagia and regurgitation. Imaging examinations revealed a right-sided esophageal diverticulum located about 10cm above the esophagogastric junction. High-resolution manometry revealed normal esophageal motility. However, 24-h pH monitoring revealed continuous acidity due to pooling of residue in the diverticulum. An esophageal epiphrenic diverticulum was diagnosed and resected thoracoscopically. Her dysphagia recurred 2 years later. High-resolution manometry revealed diffuse esophageal spasm.

DISCUSSION

The diverticulum in the present case was considered to have been associated with diffuse esophageal spasm. The motility disorder was likely not identified at the first evaluation.

CONCLUSION

In this case, the patient's symptoms spontaneously resolved without any treatment; however, longer-term follow-up is needed.

Authors+Show Affiliations

Departments of Digestive Surgery, Kawasaki Medical School, Kurashiki, Okayama, Japan. Electronic address: h-matsu@med.kawasaki-m.ac.jp.Departments of Digestive Surgery, Kawasaki Medical School, Kurashiki, Okayama, Japan.Departments of Digestive Surgery, Kawasaki Medical School, Kurashiki, Okayama, Japan.Department of Laboratory Medicine, Kawasaki Medical School, Kurashiki, Okayama, Japan.Department of Gastroenterological Medicine, Kawasaki Medical School, Kurashiki, Okayama, Japan.Departments of Digestive Surgery, Kawasaki Medical School, Kurashiki, Okayama, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26143577

Citation

Matsumoto, Hideo, et al. "Esophageal Epiphrenic Diverticulum Associated With Diffuse Esophageal Spasm." International Journal of Surgery Case Reports, vol. 13, 2015, pp. 79-83.
Matsumoto H, Kubota H, Higashida M, et al. Esophageal epiphrenic diverticulum associated with diffuse esophageal spasm. Int J Surg Case Rep. 2015;13:79-83.
Matsumoto, H., Kubota, H., Higashida, M., Manabe, N., Haruma, K., & Hirai, T. (2015). Esophageal epiphrenic diverticulum associated with diffuse esophageal spasm. International Journal of Surgery Case Reports, 13, pp. 79-83. doi:10.1016/j.ijscr.2015.06.018.
Matsumoto H, et al. Esophageal Epiphrenic Diverticulum Associated With Diffuse Esophageal Spasm. Int J Surg Case Rep. 2015;13:79-83. PubMed PMID: 26143577.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Esophageal epiphrenic diverticulum associated with diffuse esophageal spasm. AU - Matsumoto,Hideo, AU - Kubota,Hisako, AU - Higashida,Masaharu, AU - Manabe,Noriaki, AU - Haruma,Ken, AU - Hirai,Toshihiro, Y1 - 2015/06/25/ PY - 2015/03/30/received PY - 2015/06/10/revised PY - 2015/06/20/accepted PY - 2015/7/6/entrez PY - 2015/7/6/pubmed PY - 2015/7/6/medline KW - Diffuse oesophageal spasm KW - High-resolution manometry KW - Oesophageal epiphrenic diverticulum SP - 79 EP - 83 JF - International journal of surgery case reports JO - Int J Surg Case Rep VL - 13 N2 - INTRODUCTION: Esophageal diverticulum, a relatively rare condition, has been considered to be associated with motor abnormalities such as conditions that cause a lack of coordination between the distal esophagus and lower esophageal sphincter. PRESENTATION OF CASE: We herein report a case of esophageal epiphrenic diverticulum associated with diffuse esophageal spasm. A 73-year-old woman presented with dysphagia and regurgitation. Imaging examinations revealed a right-sided esophageal diverticulum located about 10cm above the esophagogastric junction. High-resolution manometry revealed normal esophageal motility. However, 24-h pH monitoring revealed continuous acidity due to pooling of residue in the diverticulum. An esophageal epiphrenic diverticulum was diagnosed and resected thoracoscopically. Her dysphagia recurred 2 years later. High-resolution manometry revealed diffuse esophageal spasm. DISCUSSION: The diverticulum in the present case was considered to have been associated with diffuse esophageal spasm. The motility disorder was likely not identified at the first evaluation. CONCLUSION: In this case, the patient's symptoms spontaneously resolved without any treatment; however, longer-term follow-up is needed. SN - 2210-2612 UR - https://www.unboundmedicine.com/medline/citation/26143577/Esophageal_epiphrenic_diverticulum_associated_with_diffuse_esophageal_spasm_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2210-2612(15)00279-5 DB - PRIME DP - Unbound Medicine ER -