Korean J Thorac Cardiovasc Surg.
2019 Feb;52(1):40-43. 10.5090/kjtcs.2019.52.1.40.
A Large Epiphrenic Esophageal Diverticulum Communicating with the Left Lower Lobe
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine. mic95@naver.com
- KMID: 2452023
- DOI: http://doi.org/10.5090/kjtcs.2019.52.1.40
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.
