A Large Epiphrenic Esophageal Diverticulum Communicating with the Left Lower Lobe
10.5090/kjtcs.2019.52.1.40
- Author:
Suk Kyung LIM
1
;
Jong Ho CHO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine. mic95@naver.com
- Publication Type:Case Report
- Keywords:
Esophageal diverticulum;
Esophagopulmonary fistula
- MeSH:
Anti-Bacterial Agents;
Diverticulum;
Diverticulum, Esophageal;
Female;
Fistula;
Follow-Up Studies;
Fundoplication;
Hematemesis;
Hemorrhage;
Humans;
Lung;
Lung Abscess;
Middle Aged
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2019;52(1):40-43
- CountryRepublic of Korea
- Language:English
-
Abstract:
Epiphrenic diverticula are known to cause a series of complications. We report the case of a 54-year-old woman who was diagnosed with an epiphrenic diverticulum at a regular checkup in November 2006. Ten years later, she presented with massive hematemesis. Imaging studies revealed an epiphrenic diverticulum measuring 7.8 cm in diameter and a large amount of bleeding inside the diverticulum. Computed tomography showed fistula formation between the diverticulum and the left lower lobe of the lung, leading to the development of a pulmonary abscess. Diverticulectomy and 180° posterior partial fundoplication were performed transabdominally. The pulmonary abscess was treated with antibiotics alone. She was discharged 16 days after the operation without any complications over 7 months of follow-up.
