title: Unusual case of a large midoesophageal diverticulum mimicking unstable angina pectoris.
abstract: We describe a 77-year-old lady who presented with progressive retrosternal pain radiating to the left arm and the back. After exclusion of cardiac causes a large midoesophageal diverticulum was found on oesophago-gastro-duodenoscopy. Importantly, the retrosternal pain completely disappeared after endoscopic removal of impacted food from the diverticulum. After the surgical resection the patient became fully asymptomatic. This is the first example of angina-like chest pain which definitively resulted from a midoesophageal diverticulum. Therefore, midoesophageal diverticula should be considered as a rare differential diagnosis of exercise-induced retrosternal pain.
authors.affiliation: Innere Medizin II, Medizinische Klinik, Universitätskliniken des Saarlandes, Homburg/Saar, Germany. joerg.hoffmann@ukbf.fu-berlin.de
authors.forename: J C
authors.initials: JC
authors.lastname: Hoffmann
authors.forename: G
authors.initials: G
authors.lastname: Pistorius
authors.forename: P
authors.initials: P
authors.lastname: Müller
authors.forename: M
authors.initials: M
authors.lastname: Zeitz
mesh_terms: D000368:Aged; D000789:Angina, Unstable / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004936:Diverticulum, Esophageal / Q000175:diagnosis* / Q000601:surgery; D004945:Esophagoscopy; D005260:Female; D006801:Humans