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Eur J Cardiothorac Surg 2009;35:724. doi:10.1016/j.ejcts.2009.01.018
Copyright © 2009, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Unilateral double epiphrenic diverticula of the esophagus

Gabor Bognar*, Jozsef Faller, Pal Ondrejka

2nd Department of Surgery, Semmelweis University Budapest, Kutvölgyi ut 4, Budapest 1125, Hungary

Received 15 November 2008; received in revised form 12 January 2009; accepted 14 January 2009.

* Corresponding author. Tel.: +36 3257311; fax: +35 3257294. (Email: bgabor68{at}gmail.com).

Key Words: Epiphrenic diverticulum • Esophagus

A 55-year-old man exhibited pyrosis and recurrent episodes of regurgitation. Barium swallow showed double unilateral epiphrenic diverticula (Fig. 1 ). The patient refused an upper digestive endoscopy as well as an esophageal manometry. He was symptomatic with antacid agents and resection of diverticula was performed (right thoracotomy) (Fig. 2 ).


Figure 1
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  		Fig. 1. Barium swallow showing unilateral double outpouching of the esophageal wall near the diaphragm, due to unilateral epiphrenic diverticula with average diameter of 5 cm each.

 

Figure 2
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  		Fig. 2. Double unilateral diverticula on the right side of the esophagus (pulled out with Ellis’ graspers) before the resection.

 





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