Congenital true diverticula of the esophagus: a case report.
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.
Ohbatake
M
M
First Department of Surgery, Nagasaki University School of Medicine, Japan.
Muraji
T
T
Yamazato
M
M
Higashimoto
Y
Y
Nishijima
E
E
Tsugawa
C
C
D002675:Child, Preschool; D004936:Diverticulum, Esophageal / Q000150:complications / Q000151:congenital* / Q000473:pathology / Q000601:surgery; D005764:Gastroesophageal Reflux / Q000209:etiology*; D006801:Humans; D008297:Male