title: Profuse bleeding in epiphrenic diverticula: an unusual finding.
abstract: Profuse bleeding is an unusual and previously unreported finding in epiphrenic diverticula. The present case describes a man with a history of significant alcohol and tobacco abuse who presented to an emergency room expectorating blood and was then admitted. Further evaluation revealed a large bleeding ulcer crater in the distal esophagus. Findings consistent with candida esophagitis were noted on biopsy. Radiographic examination revealed two large, wide-mouthed diverticula. While hypertensive lower esophageal pressure was noted on manometric evaluation, surgery was not performed on the patient, and he subsequently curtailed his alcohol and tobacco intake. A follow-up examination at 90 days' postdischarge revealed no further bleeding episodes with continued decreased alcohol and tobacco intake.
authors.affiliation: Howard University Hospital, Washington, DC, USA.
authors.forename: D A
authors.initials: DA
authors.lastname: Hoxie
authors.forename: M C
authors.initials: MC
authors.lastname: Dillon
authors.forename: W B
authors.initials: WB
authors.lastname: Tuckson
authors.forename: R M
authors.initials: RM
authors.lastname: DeSai
mesh_terms: D003964:Diaphragm; D004936:Diverticulum, Esophageal / Q000150:complications*; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged