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Mid-oesophageal traction diverticulum in a patient with systemic lupus erythematosus
  1. Gauri Chillarge1,
  2. Robert O'Neill2 and
  3. Peter Safranek1
  1. 1General Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
  2. 2Cambridge Oesophagogastric Centre, Addenbrooke's Hospital, Cambridge, UK
  1. Correspondence to Peter Safranek; peter.safranek{at}


In this report, a case of a large mid-oesophageal traction diverticulum in a 66-year-old woman with systemic lupus erythematosus has been presented. She was initially managed conservatively with active surveillance for 6 years. When her symptoms progressed, she had repeat endoscopy and CT scan which showed an increase in size of the diverticulum to 6 cm in diameter. Her dysphagia had progressively deteriorated and she was only managing a liquid diet. She, therefore, proceeded to resection of the diverticulum by right thoracotomy and stapled diverticulectomy. She made an excellent postoperative recovery and at last review, 5 months after the operation, she was back at work, had put on weight, and was tolerating a normal diet.

  • oesophagus
  • gastrointestinal surgery

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  • Contributors The patient in the case report was under the care of PS (consultant) who was also the operating surgeon along with JRO. It was PS conception to write the case report and the planning was done by JRO and GC. The images in the report have been obtained by PS. The case report has been drafted by GC (FY2) who has also done the literature search and obtained patient consent. The report has been proofread and edited by JRO.The corresponding author and guarantor for this report is PS.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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