Display options
Cite
Bhandarwar AH, Tungenwar PN, Sawakare YM, et al. Large Epiphrenic Diverticula: A Rare Case Presentation. Clin Pract. 2015;5(4):784doi: 10.4081/cp.2015.784.
Bhandarwar, A. H., Tungenwar, P. N., Sawakare, Y. M., Wagh, A. N., Patel, C. B., & Gandhi, S. S. (2015). Large Epiphrenic Diverticula: A Rare Case Presentation. Clinics and practice, 5(4), 784. https://doi.org/10.4081/cp.2015.784
Bhandarwar, Ajay H, et al. "Large Epiphrenic Diverticula: A Rare Case Presentation." Clinics and practice vol. 5,4 (2015): 784. doi: https://doi.org/10.4081/cp.2015.784
Bhandarwar AH, Tungenwar PN, Sawakare YM, Wagh AN, Patel CB, Gandhi SS. Large Epiphrenic Diverticula: A Rare Case Presentation. Clin Pract. 2015 Nov 20;5(4):784. doi: 10.4081/cp.2015.784. eCollection 2015 Nov 05. PMID: 26918097; PMCID: PMC4745591.
Copy Download .nbib Format: NLM
Share it on

Clin Pract. 2015 Nov 20;5(4):784. doi: 10.4081/cp.2015.784. eCollection 2015 Nov 05.

Large Epiphrenic Diverticula: A Rare Case Presentation.

Clinics and practice

Ajay H Bhandarwar, Pravin N Tungenwar, Yogesh M Sawakare, Amol Nanasaheb Wagh, Chintan Babubhai Patel, Saurabh S Gandhi

Affiliations

  1. Department of General Surgery, Grant Medical College & Sir JJ Group of Hospitals , Byculla, Mumbai, India.

PMID: 26918097 PMCID: PMC4745591 DOI: 10.4081/cp.2015.784

Abstract

A 70-year old female was admitted to hospital with heartburn and chronic halitosis since 5 years. She was on proton pump inhibitors for the same. Her complaints worsened during the last one-year. Workup comprising of esophago-gastro-duodenoscopy, esophageal manometry, 3D computed tomography scan showed right-sided epiphrenic diverticula measuring 10x10 cm with wide mouth about 5 cm with hypertensive lower esophageal sphincter. Patient underwent a video assisted thoracoscopic surgery for esophageal diverticulectomy using two 45 mm staplers. On day 5, the patient developed leak, which was managed by a covered esophageal stent placement. Patient started on oral feeds from day 3 and the esophageal leak healed completely within 2 weeks. Literature suggests that esophageal leaks treated conservatively took approximately 30-40 days on an average for healing. Literature search did not reveal esophageal leak managed by stent with faster recovery (2 weeks). This is one of the largest epiphrenic diverticuli reported in literature.

Keywords: Epiphrenic diverticulum; achalasia; leak; stent

References

  1. Hepatogastroenterology. 2001 May-Jun;48(39):718-9 - PubMed
  2. Ann Thorac Surg. 1993 May;55(5):1109-13; discussion 1114 - PubMed
  3. Surg Laparosc Endosc Percutan Tech. 2008 Apr;18(2):133-8 - PubMed
  4. J Gastrointest Surg. 2008 Sep;12(9):1485-90 - PubMed
  5. Hepatogastroenterology. 1992 Apr;39(2):97-9 - PubMed
  6. Best Pract Res Clin Gastroenterol. 2004 Feb;18(1):3-17 - PubMed
  7. Surg Endosc. 2004 May;18(5):741-5 - PubMed
  8. Scand J Surg. 2013;102(2):129-35 - PubMed

Publication Types