Odynophagia caused by a pericardial diverticulum.
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.
Division of Gastroenterology, Loma Linda University Medical Center, California.
M J
MJ
Santoro
L J
LJ
Ford
Y K
YK
Chen
M R
MR
Solinger
D000328:Adult; D003679:Deglutition / Q000502:physiology*; D004240:Diverticulum / Q000150:complications*; D005260:Female; D006801:Humans; D008476:Mediastinal Cyst / Q000150:complications*; D010146:Pain / Q000209:etiology*; D010496:Pericardium