A sixty-three years old man, post Zenker's diverticulectomy, presented with a giant epiphrenic esophageal diverticulum. The diverticulum, which was symptomatic and progressively enlarging, was successfully removed by simple excision.
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Cureus
August 2024
First Department of Surgery, University of Yamanashi, Yamanashi, JPN.
Esophageal diverticula are relatively uncommon, especially supradiaphragmatic diverticula. Esophageal diverticula are normally managed by observation; however, surgical treatment is sometimes indicated for large diverticula or diverticula in highly symptomatic patients. Surgical approaches for esophageal diverticula include thoracoscopic or laparoscopic resection; however, consensus has not yet been reached on the optimal approach.
View Article and Find Full Text PDFJ Coll Physicians Surg Pak
December 2022
National Institute of liver and GI diseases, Dow University of Health Sciences, Karachi, Pakistan.
Esophageal epiphrenic diverticulum is a rare condition. We present a case of a 70-year male with no known comorbidities who presented with dysphagia, cough, fever, and weight loss for 3 months. CT chest with contrast showed an out-pouching arising from the distal dorsal oesophagus, 15.
View Article and Find Full Text PDFBJR Case Rep
September 2022
Thoracic Surgery Unit, IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Foggia, Italy.
Esophageal diverticulum is a rare disease caused by impairment of esophageal motility. The incidence is not known, due to lack of symptoms in many cases. Surgical treatment is reserved to symptomatic patients.
View Article and Find Full Text PDFCRSLS
August 2022
Department of Surgery, Moinhos de Vento Hospital, Porto Alegre, Brazil.
Epiphrenic diverticulum is a rare condition associated with esophageal motor disorder, and it is often asymptomatic, with a well-established surgical indication. The present study aims to report a case of a giant epiphrenic diverticulum in a 68-year-old male patient who, due to the symptoms, opted for surgical treatment using the daVinci® system. Robotic surgery consisting of esophageal diverticulectomy with cardiomyotomy was performed.
View Article and Find Full Text PDFAsian J Endosc Surg
April 2022
Minimally Invasive Surgery Unit, Division of Surgery, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.
The transthoracic approach for esophageal diverticulectomy saves dissection but limits the amount of antireflux surgery that can be done. However, the laparoscopic trans-hiatal approach usually limits access to large diverticula located at the mid-thoracic level. We describe a 67-year-old Thai man who had two giant epiphrenic diverticula (ED) (11 × 7.
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