title: Upper gastrointestinal bleeding caused by a "hypophrenic" diverticulum of the distal esophagus.
abstract: Distal esophageal diverticula are uncommon acquired anomalies of the distal thoracic esophagus. We report a case of an elderly man presenting with a history of upper gastrointestinal bleeding secondary to a distal esophageal diverticulum arising from the intra-abdominal portion of the esophagus. To our knowledge, this is the first report of upper gastrointestinal bleeding from a subdiaphragmatic esophageal diverticulum. We propose the term "hypophrenic diverticulum of the esophagus" for this disease entity, and we would like to bring it to the attention of readers of The American Surgeon.
authors.affiliation: Department of Surgery, Westside Veterans Administration Hospital, Chicago, Illinois, USA.
authors.forename: Albert D
authors.initials: AD
authors.lastname: Sam
authors.forename: Rabih A
authors.initials: RA
authors.lastname: Chaer
authors.forename: Jose
authors.initials: J
authors.lastname: Cintron
authors.forename: Miguel
authors.initials: M
authors.lastname: Teresi
authors.forename: Malek G
authors.initials: MG
authors.lastname: Massad
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D004936:Diverticulum, Esophageal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D016145:Endoscopy, Digestive System; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D010791:Phrenic Nerve; D011860:Radiography, Abdominal; D019651:Plastic Surgery Procedures / Q000379:methods