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Esophageal diverticula.

E R Reddy1, I Smith, H Clarke

  • 1Department of Radiology, Health Sciences Centre, St. John's, Newfoundland.

Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes
|December 1, 1989
PubMed
Summary
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Symptomatic mid-esophageal diverticula commonly cause chest pain and difficulty swallowing. Radiological findings in patients revealed acute obstructions and an esophago-bronchial fistula, highlighting potential complications.

Area of Science:

  • Gastroenterology
  • Thoracic Surgery
  • Diagnostic Imaging

Background:

  • Mid-esophageal diverticula are rare outpouchings in the esophagus.
  • Symptomatic presentations necessitate accurate diagnosis and management.
  • Understanding clinical and radiological features is crucial for patient care.

Observation:

  • Four patients with symptomatic mid-esophageal diverticula were analyzed.
  • Common symptoms included retrosternal chest pain and dysphagia.
  • Radiological evaluation identified key pathological features.

Findings:

  • Barium studies revealed acute esophageal obstructions in three patients.
  • One patient presented with an esophago-bronchial fistula at the diverticulum tip.
  • These findings underscore the potential severity of symptomatic diverticula.

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Implications:

  • Early recognition of these clinical and radiological signs is vital.
  • Prompt diagnosis can prevent complications like obstruction and fistulas.
  • This case series contributes to the understanding of esophageal diverticula management.