You are here

Article Text

Article menu
Download PDFPDF
Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
Diverticulum of the midthoracic oesophagus and left diaphragmatic relaxation
  1. Nicola Antonacci1,
  2. Gianluca Sciannamea1,
  3. Filippo Antonacci1,
  4. Riccardo Casadei1,
  5. Claudio Ricci1,
  6. Salomone Di Saverio2,
  7. Francesco Minni1
  1. 1Department of General Surgery, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
  2. 2Department of Surgery and Emergency, Emergency and Trauma Surgery Unit, Maggiore Hospital Trauma Center, S. Orsola Malpighi University Hospital , University of Bologna, Bologna, Italy
  1. Correspondence to Nicola Antonacci, nikk79it{at}yahoo.it

Summary

The case of a 58-year-old man with a large midthoracic oesophageal diverticulum and a left diaphragmatic relaxation who presented with night regurgitations, abdominal bloating, epigastric burning and a sensation of fullness after meals is reported. The patient underwent a successful thoracotomic diverticulectomy with left diaphragmatic plicature. The postoperative course was uneventful. To our knowledge this is the first reported case of an association between midthoracic oesophageal diverticulum and left diaphragmatic relaxation. Moreover, we hypothesised that the diverticulum was caused by a pulsion mechanism due to obstruction of the distal oesophagus secondary to diaphragmatic relaxation.

https://doi.org/10.1136/bcr.04.2010.2950

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Competing interests None.

    • Patient consent Obtained.