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Ann Thorac Surg 2006;82:1119-1121
© 2006 The Society of Thoracic Surgeons

Case report

Esophageal Intramural Pseudodiverticulosis With Esophageal Strictures Successfully Treated With Dilation Therapy

Fuminori Teraishi, MDa,*, Toshiyoshi Fujiwara, MDa, Atsushi Jikuhara, MDb, Shingo Kamitani, MDb, Yasuo Morino, MDc, Katsuaki Sato, MDb, Noriaki Tanaka, MDa

a Division of Surgical Oncology, Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan
b Department of Gastrointestinal Surgery, Sato Hospital, Okayama, Japan
c Department of Radiology, Mitsubishi Mizushima Hospital, Okayama, Japan

Accepted for publication January 16, 2006.

* Address correspondence to Dr Teraishi, Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama, 700-8558 Japan (Email: f-tera{at}md.okayama-u.ac.jp).

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.






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