Esophageal intramural pseudodiverticulosis with esophageal strictures successfully treated with dilation therapy.
We report a rare case of esophageal intramural pseudodiverticulosis with esophageal strictures. Barium esophagogram demonstrated multiple flask-shaped diverticula out of the esophageal wall with comprehensive luminal stenosis involving the proximal 8 cm and distal 4 cm of the esophagus. Chest computed tomographic scan demonstrated round wall thickening and several intramural gas collections of the proximal esophagus. Endoscopy revealed a fibrotic stricture and multiple small orifices of pseudodiverticula with mild inflammatory changes. Biopsy specimens showed active chronic inflammatory changes of the mucosa with candidiasis. Dysphagia improved dramatically with esophageal dilation. However, the tiny diverticula did not resolve after treatment.
Teraishi
Fuminori
F
Division of Surgical Oncology, Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan. f-tera@md.okayama-u.ac.jp
Fujiwara
Toshiyoshi
T
Jikuhara
Atsushi
A
Kamitani
Shingo
S
Morino
Yasuo
Y
Sato
Katsuaki
K
Tanaka
Noriaki
N
D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D002177:Candidiasis / Q000150:complications* / Q000188:drug therapy; D002404:Catheterization; D002908:Chronic Disease; D003680:Deglutition Disorders / Q000209:etiology; D003937:Diagnosis, Differential; D045723:Diverticulosis, Esophageal / Q000175:diagnosis*; D004940:Esophageal Stenosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D004941:Esophagitis / Q000150:complications* / Q000188:drug therapy; D004945:Esophagoscopy; D005355:Fibrosis; D005764:Gastroesophageal Reflux / Q000150:complications; D006801:Humans; D008297:Male; D009853:Omeprazole / Q000627:therapeutic use; D054328:Proton Pump Inhibitors; D014057:Tomography, X-Ray Computed
D000935:Antifungal Agents; D054328:Proton Pump Inhibitors; D009853:Omeprazole