Recurrent Dysphagia Associated with Esophageal Intramural Pseudodiverticulosis

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Haider Naqvi1,2,3,4, Muhammad Nadeem Yousaf1,2,3,4, Gavneet Sandhu1,2,3,4

  • 1Department of Medicine, Medstar Union Memorial Hospital, Baltimore, Maryland, USA.

Case Reports in Gastroenterology
|October 7, 2021
PubMed

Insights

Esophageal intramural pseudodiverticulosis (EIPD) is a rare esophageal condition. This case highlights delayed diagnosis of EIPD, leading to esophageal strictures managed with dilations.

Area of Science:

  • Gastroenterology
  • Esophageal Diseases
  • Rare Medical Conditions

Background:

  • Esophageal intramural pseudodiverticulosis (EIPD) is a rare condition characterized by flask-shaped outpouchings in the esophageal wall.
  • These pseudodiverticula represent false lumens and can be challenging to diagnose in early stages.

Observation:

  • A rare case of EIPD is presented, complicated by the development of esophageal strictures.
  • The EIPD lesions were initially missed during multiple esophagogastroduodenoscopy examinations.
  • The patient experienced worsening dysphagia due to the esophageal stricture, necessitating intervention.

Findings:

  • The study highlights the diagnostic challenges of EIPD, particularly when lesions are small and asymptomatic.
  • Advanced imaging modalities may be required for definitive diagnosis when endoscopy is inconclusive.
  • The patient's esophageal stricture, a complication of EIPD, was successfully managed with serial dilations.

Implications:

  • This case underscores the importance of considering EIPD in patients with unexplained esophageal symptoms, even with prior negative endoscopies.
  • Early diagnosis and management of EIPD can prevent complications like esophageal strictures.
  • Treatment strategies for EIPD range from conservative medical management to endoscopic or surgical interventions for severe cases or complications.
Keywords:
DysphagiaEsophagusPseudodiverticulosisStricture

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