Massive Upper Gastrointestinal Bleeding from a Traction Type of Diverticulum in the Midesophagus.
- Author:
Chang Soo JANG
1
;
Kwang An KWON
;
Soo Jin CHOI
;
Yeon Suk KIM
;
Yang Suh KU
;
Kee Sup SONG
;
Uk Sun CHANG
;
Sang Kyun YU
;
Dong Kyun PARK
;
Yu Kyung KIM
;
Ju Hyun KIM
Author Information
1. Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea. toptom@gilhospital.com
- Publication Type:Case Report
- Keywords:
Esophageal diverticulum;
Upper gastrointestinal bleeding;
Endoscopy
- MeSH:
Barium;
Blood Vessels;
Diverticulum*;
Diverticulum, Esophageal;
Endoscopy;
Endoscopy, Digestive System;
Esophagus;
Fistula;
Hemorrhage*;
Lung;
Pneumonia;
Traction*
- From:Korean Journal of Gastrointestinal Endoscopy
2007;34(4):200-204
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The common sites of esophageal diverticula are the pharyngoesophageal junction, midesophagus and epiphrenic. The pathophysiological mechanisms of acquired esophageal diverticula are traction and pulsion forces. Traction diverticula of the midesophagus are usually asymptomatic, and found incidentally on an esophagogastroduodenoscopy or barium contrast esophagogram. Midesophageal traction diverticula are caused by inflammatory processes between the external wall of the esophagus and the adjacent structure. Pneumonia, bronchoesophageal fistula and gastrointestinal bleeding can occur due to an extension of inflammatory process into the lung or blood vessels. There are a few reports of midesophageal diverticular bleeding. We present a case of massive upper gastrointestinal bleeding from a traction diverticulum of the midesophagus that was successfully managed by endoscopic treatment.
