Esophageal intramural pseudodiverticulosis: a rare cause of dysphagia

Abstract Text A 46-year-old man with a history of alcohol abuse and recurrent dysphagia underwent an upper endoscopy at our endoscopy unit. Upon insertion of the gastroscope the patient coughed and a mucosal laceration without deep muscle injury was seen within a stricture in the proximal esophagus. Examination of the remaining esophagus revealed multiple diverticula of varying sizes consistent with esophageal intramural pseudodiverticulosis. On the second gastroscopy after 3 days no resistance was encountered proximally upon insertion of the endoscope. Histology revealed nonspecific inflammatory changes without evidence of eosinophilic esophagitis or candidiasis. The patient’s dysphagia improved gradually.

Publication History

Article published online:
14 April 2023