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Congenital true diverticula of the esophagus: a case report
M Ohbatake1, T Muraji, M Yamazato
1First Department of Surgery, Nagasaki University School of Medicine, Japan.
Insights
True esophageal diverticula are rare in children. This case study details a 5-year-old boy with true esophageal diverticula, successfully treated with surgery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- True esophageal diverticula are uncommon in pediatric populations.
- Gastroesophageal reflux is a more frequent cause of pseudodiverticulosis in adults.
Observation:
- A 5-year-old boy presented with vomiting starting at 1.5 years old.
- Diagnostic imaging revealed two posterior middle esophageal diverticula, a hiatal hernia, and a short esophagus.
Findings:
- Surgical intervention included diverticulectomy, Collis-Nissen antireflux procedure, and pyloroplasty.
- Histological analysis confirmed the diverticula were full-thickness esophageal wall, suggesting a true diverticulum rather than a duplication.
Implications:
- This case highlights the rare occurrence of true esophageal diverticula in children.
- Successful surgical management in this pediatric patient provides a valuable clinical reference.
Abstract:
Pseudodiverticulosis secondary to gastroesophageal reflux is a common disease in adults, but true esophageal diverticula are rare in infants and children. A 5-year-old boy was well until the age of 1 1/2 years when he started vomiting. An upper gastrointestinal series showed two diverticula bulging from the posterior right side of the middle esophagus associated with slight hiatal hernia and short esophagus. Diverticulectomy, the Collis-Nissen antireflux procedure, and pyloroplasty were performed simultaneously through a left thoracoabdominal incision. Histological examination of the diverticula showed that the wall of each diverticulum consisted of a full-thickness of esophageal wall. Because there was no tracheal remnant in the diverticula, this lesion is more likely to be a true diverticulum than a duplication.