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Odynophagia caused by a pericardial diverticulum
M J Santoro1, L J Ford, Y K Chen
1Division of Gastroenterology, Loma Linda University Medical Center, California.
Abstract:
A 31-yr-old female presented with odynophagia and weight loss. Upper gastrointestinal endoscopy, esophageal manometry, and chest x-ray all were normal. However, computerized tomography of the chest revealed a mediastinal mass, which on mediastinoscopy proved to be a pericardial diverticulum. Surgical excision of this diverticulum resulted in complete resolution of her symptoms. This case report illustrates that mediastinal lesions should be considered as a potential cause of odynophagia when esophageal disease has been ruled out.
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