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Unusual case of a large midoesophageal diverticulum mimicking unstable angina pectoris
J C Hoffmann1, G Pistorius, P Müller
1Innere Medizin II, Medizinische Klinik, Universitätskliniken des Saarlandes, Homburg/Saar, Germany. joerg.hoffmann@ukbf.fu-berlin.de
Abstract:
We describe a 77-year-old lady who presented with progressive retrosternal pain radiating to the left arm and the back. After exclusion of cardiac causes a large midoesophageal diverticulum was found on oesophago-gastro-duodenoscopy. Importantly, the retrosternal pain completely disappeared after endoscopic removal of impacted food from the diverticulum. After the surgical resection the patient became fully asymptomatic. This is the first example of angina-like chest pain which definitively resulted from a midoesophageal diverticulum. Therefore, midoesophageal diverticula should be considered as a rare differential diagnosis of exercise-induced retrosternal pain.
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