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Matsumoto H, Kubota H, Higashida M, et al. Esophageal epiphrenic diverticulum associated with diffuse esophageal spasm. Int J Surg Case Rep. 2015;13:79-83doi: 10.1016/j.ijscr.2015.06.018.
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, 1379-83. https://doi.org/10.1016/j.ijscr.2015.06.018
Matsumoto, Hideo, et al. "Esophageal epiphrenic diverticulum associated with diffuse esophageal spasm." International journal of surgery case reports vol. 13 (2015): 79-83. doi: https://doi.org/10.1016/j.ijscr.2015.06.018
Matsumoto H, Kubota H, Higashida M, Manabe N, Haruma K, Hirai T. Esophageal epiphrenic diverticulum associated with diffuse esophageal spasm. Int J Surg Case Rep. 2015;13:79-83. doi: 10.1016/j.ijscr.2015.06.018. Epub 2015 Jun 25. PMID: 26143577; PMCID: PMC4529649.
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Int J Surg Case Rep. 2015;13:79-83. doi: 10.1016/j.ijscr.2015.06.018. Epub 2015 Jun 25.

Esophageal epiphrenic diverticulum associated with diffuse esophageal spasm.

International journal of surgery case reports

Hideo Matsumoto, Hisako Kubota, Masaharu Higashida, Noriaki Manabe, Ken Haruma, Toshihiro Hirai

Affiliations

  1. Departments of Digestive Surgery, Kawasaki Medical School, Kurashiki, Okayama, Japan. Electronic address: [email protected].
  2. Departments of Digestive Surgery, Kawasaki Medical School, Kurashiki, Okayama, Japan.
  3. Department of Laboratory Medicine, Kawasaki Medical School, Kurashiki, Okayama, Japan.
  4. Department of Gastroenterological Medicine, Kawasaki Medical School, Kurashiki, Okayama, Japan.

PMID: 26143577 PMCID: PMC4529649 DOI: 10.1016/j.ijscr.2015.06.018

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.

Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Diffuse oesophageal spasm; High-resolution manometry; Oesophageal epiphrenic diverticulum

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