Large epiphrenic esophageal diverticulum in symptomatic patient managed laparoscopically: Case report and review of literature

• Published in: International journal of surgery case reports 2023-05, Vol.106, p.108060, Article 108060
• Main Authors: Di Tommaso, Gabriel Reis, de Castro, Gustavo Lopes, Júnior, Eneas Carlos Cavalcante, Printes, Thaís Regina Moreira, da Silva Neto, Rubem Alves, da Silva Júnior, Rubem Alves
• Format: Article
• Language: English
• Subjects: Case Report; Diverticula; Diverticulectomy; Epiphrenic; Esophageal diverticulum; Reflux
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2023.108060

Diverticular disease most common site in digestive tract is large intestine, but can also appears in small intestine and esophagus. Esophageal diverticula are divided according to injured portion (pharyngeal, middle or epiphrenic). We present a case of large epiphrenic diverticulum in a 71-year-old woman with mild gastrointestinal symptoms managed laparoscopically with diverticulectomy and fundoplication. Epiphrenic esophageal diverticulum is rare, originated from unknown increase of intraesophageal pressure. Diagnosis usually occurs with imaging and endoscopic investigation and surgical treatment is indicated for symptomatic patients. High suspicion and proper analysis are fundamental for diagnosis and treatment definition, which may include outpatient follow-up or surgery. •Esophageal diverticulum are divided in pharyngeal or cervical (Zenker’s diverticulum), middle or epiphrenic.•Epiphrenic esophageal diverticula are associated with motility disorder and increased pressure into esophageal wall.•This condition may be managed consertively or surgical when symptomatic by diverticulectomy, cardiomiotomy and fundoplication.•Most common complications of esophageal epiphrenic diverticulum are infection and ulceration with hemorrhage.