AI Article Synopsis
- Traction diverticula in the mid-esophagus are often found incidentally during barium swallow tests or endoscopy, occurring primarily due to nearby inflammation from infections like histoplasmosis.
- They typically do not cause symptoms, but in rare cases, complications can lead to issues such as pneumonia or gastrointestinal bleeding.
- The text discusses a specific case where a mid-esophageal diverticulum was responsible for severe upper gastrointestinal bleeding, highlighting the potential seriousness despite its usual asymptomatic nature.
Article Abstract
Traction diverticula of the mid-esophagus are usually incidental findings on barium swallow or upper endoscopy. They are thought to arise secondary to adjacent inflammation in the mediastinum, usually from granulomatous infection such as histoplasmosis. They are usually asymptomatic. Rarely, erosion or extension of the inflammatory process into the adjacent lung or bronchial arteries can result in clinical symptoms such as pneumonia or gastrointestinal bleeding. Diagnosis is often delayed due to the rarity of clinical symptoms. We present a case of massive upper gastrointestinal bleeding due to a mid-esophageal diverticulum.
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