Large epiphrenic esophageal diverticulum in symptomatic patient managed laparoscopically: Case report and review of literature

• Published in: International journal of surgery case reports Vol. 106; p. 108060
• Main Authors: Di Tommaso, Gabriel Reis, de Castro, Gustavo Lopes, Júnior, Eneas Carlos Cavalcante, Printes, Thaís Regina Moreira, da Silva Neto, Rubem Alves, da Silva Júnior, Rubem Alves
• Format: Report
• Language: English
• Published: 01-05-2023
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2023.108060

INTRODUCTIONDiverticular disease most common site in digestive tract is large intestine, but can also appears in small intestine and esophagus. Esophageal diverticula are divided according to injured portion (pharyngeal, middle or epiphrenic). CASE PRESENTATIONWe present a case of large epiphrenic diverticulum in a 71-year-old woman with mild gastrointestinal symptoms managed laparoscopically with diverticulectomy and fundoplication. DISCUSSIONEpiphrenic esophageal diverticulum is rare, originated from unknown increase of intraesophageal pressure. Diagnosis usually occurs with imaging and endoscopic investigation and surgical treatment is indicated for symptomatic patients. CONCLUSIONHigh suspicion and proper analysis are fundamental for diagnosis and treatment definition, which may include outpatient follow-up or surgery.