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Case Report

Large Epiphrenic Diverticula: A Rare Case Presentation

by
Ajay H. Bhandarwar
*,
Pravin N. Tungenwar
,
Yogesh M. Sawakare
,
Amol Nanasaheb Wagh
,
Chintan Babubhai Patel
and
Saurabh S. Gandhi
Department of General Surgery, Grant Medical College & Sir JJ Group of Hospitals, Byculla, Mumbai
*
Author to whom correspondence should be addressed.
Clin. Pract. 2015, 5(4), 784; https://doi.org/10.4081/cp.2015.784
Submission received: 6 May 2015 / Revised: 21 August 2015 / Accepted: 28 September 2015 / Published: 20 November 2015

Abstract

A 70-year old female was admitted to hospital with heartburn and chronic halitosis since 5 years. She was on proton pump inhibitors for the same. Her complaints worsened during the last one-year. Workup comprising of esophagogastro- duodenoscopy, esophageal manometry, 3D computed tomography scan showed rightsided epiphrenic diverticula measuring 10x10 cm with wide mouth about 5 cm with hypertensive lower esophageal sphincter. Patient underwent a video assisted thoracoscopic surgery for esophageal diverticulectomy using two 45 mm staplers. On day 5, the patient developed leak, which was managed by a covered esophageal stent placement. Patient started on oral feeds from day 3 and the esophageal leak healed completely within 2 weeks. Literature suggests that esophageal leaks treated conservatively took approximately 30-40 days on an average for healing. Literature search did not reveal esophageal leak managed by stent with faster recovery (2 weeks). This is one of the largest epiphrenic diverticuli reported in literature.
Keywords: epiphrenic diverticulum; achalasia; stent; leak epiphrenic diverticulum; achalasia; stent; leak

Share and Cite

MDPI and ACS Style

Bhandarwar, A.H.; Tungenwar, P.N.; Sawakare, Y.M.; Wagh, A.N.; Patel, C.B.; Gandhi, S.S. Large Epiphrenic Diverticula: A Rare Case Presentation. Clin. Pract. 2015, 5, 784. https://doi.org/10.4081/cp.2015.784

AMA Style

Bhandarwar AH, Tungenwar PN, Sawakare YM, Wagh AN, Patel CB, Gandhi SS. Large Epiphrenic Diverticula: A Rare Case Presentation. Clinics and Practice. 2015; 5(4):784. https://doi.org/10.4081/cp.2015.784

Chicago/Turabian Style

Bhandarwar, Ajay H., Pravin N. Tungenwar, Yogesh M. Sawakare, Amol Nanasaheb Wagh, Chintan Babubhai Patel, and Saurabh S. Gandhi. 2015. "Large Epiphrenic Diverticula: A Rare Case Presentation" Clinics and Practice 5, no. 4: 784. https://doi.org/10.4081/cp.2015.784

APA Style

Bhandarwar, A. H., Tungenwar, P. N., Sawakare, Y. M., Wagh, A. N., Patel, C. B., & Gandhi, S. S. (2015). Large Epiphrenic Diverticula: A Rare Case Presentation. Clinics and Practice, 5(4), 784. https://doi.org/10.4081/cp.2015.784

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