A Giant Esophageal Epiphrenic Diverticulum Causing Dysphagia, Fungal Infection and Aspiration Pneumonia in an Elderly Patient
Esophageal epiphrenic diverticulum is a rare condition. We present a case of a 70-year male with no known comorbidities who presented with dysphagia, cough, fever, and weight loss for 3 months. CT chest with contrast showed an out-pouching arising from the distal dorsal oesophagus, 15.6 cm long with...
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| Veröffentlicht in: | Journal of the College of Physicians and Surgeons Pakistan 2022-12, Vol.32 (12), p.SS119-SS121 |
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| container_end_page | SS121 |
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| container_issue | 12 |
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| container_title | Journal of the College of Physicians and Surgeons Pakistan |
| container_volume | 32 |
| creator | Shaikh, Sabhita Shabir Khalid, Raheela |
| description | Esophageal epiphrenic diverticulum is a rare condition. We present a case of a 70-year male with no known comorbidities who presented with dysphagia, cough, fever, and weight loss for 3 months. CT chest with contrast showed an out-pouching arising from the distal dorsal oesophagus, 15.6 cm long with 0.9 cm neck, containing food particles causing compression and consolidation of adjacent lung segments. His upper gastrointestinal endoscopy showed a large diverticulum arising at 30 cm from incisors with overlying ulcerated and necrotic mucosa. A biopsy of diverticular mucosa showed fungal hyphae and spores and was negative for malignancy. The patient was given antifungals and showed significant improvement of symptoms but considering the huge size of the diverticulum, he was referred to a thoracic surgeon. Key Words: Epiphrenic diverticulum, Dysphagia, Aspiration pneumonia, Fungal infection. |
| doi_str_mv | 10.29271/jcpsp.2022.Supp.S119 |
| format | Article |
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We present a case of a 70-year male with no known comorbidities who presented with dysphagia, cough, fever, and weight loss for 3 months. CT chest with contrast showed an out-pouching arising from the distal dorsal oesophagus, 15.6 cm long with 0.9 cm neck, containing food particles causing compression and consolidation of adjacent lung segments. His upper gastrointestinal endoscopy showed a large diverticulum arising at 30 cm from incisors with overlying ulcerated and necrotic mucosa. A biopsy of diverticular mucosa showed fungal hyphae and spores and was negative for malignancy. The patient was given antifungals and showed significant improvement of symptoms but considering the huge size of the diverticulum, he was referred to a thoracic surgeon. 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| identifier | EISSN: 1681-7168 |
| ispartof | Journal of the College of Physicians and Surgeons Pakistan, 2022-12, Vol.32 (12), p.SS119-SS121 |
| issn | 1681-7168 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Deglutition Disorders - etiology Diverticulum - surgery Diverticulum, Esophageal - complications Diverticulum, Esophageal - diagnosis Humans Laparoscopy - adverse effects Male Mycoses Pneumonia, Aspiration - complications Pneumonia, Aspiration - surgery |
| title | A Giant Esophageal Epiphrenic Diverticulum Causing Dysphagia, Fungal Infection and Aspiration Pneumonia in an Elderly Patient |
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