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Case Reports: Rare disease
Congenital true oesophageal diverticulum: a report and review of the literature
  1. Gaurav Prasad,
  2. Vishesh Jain,
  3. Prabudh Goel and
  4. Sandeep Agarwala
  1. Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India
  1. Correspondence to Dr Vishesh Jain, Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India; dr.vishesh79{at}gmail.com

Abstract

Oesophageal diverticulum occurring secondary to motility disorders or gastro-oesophageal reflux disease (GERD) is common in adults but true congenital oesophageal diverticula are rare in infants and children. We present a case of a toddler boy who presented with dysphagia and vomiting after feeds after weaning was attempted starting at 6 months of age. Barium esophagogram revealed a diverticulum in the upper one-third of the oesophagus within the thoracic cavity. The child underwent multiple interventions elsewhere without definitive surgery that highlights the rarity of this condition. Thoracotomy and repair were performed by us with a satisfactory outcome. The review of the literature on the clinical presentation and management of this rare condition has been discussed, highlighting similar reported cases.

  • Oesophagus
  • Congenital disorders
  • Gastrointestinal surgery

https://doi.org/10.1136/bcr-2022-249080

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    Footnotes

    • Twitter @ drprabudhgoel

    • Contributors VJ/SA managed the case, GP/VJ wrote the manuscript, SA/PG reviewed the manuscript and did the literature search.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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