Faculty Collaboration Database

Esophageal intramural pseudodiverticulosis associated with achalasia. Am J Gastroenterol 1996 Sep;91(9):1859-60

Date

09/01/1996

Pubmed ID

8792718

Scopus ID

2-s2.0-0029839661 (requires institutional sign-in at Scopus site)   17 Citations

Abstract

Esophageal intramural pseudodiverticulosis (EIPD) is a rare condition in which multiple small outpouchings are seen in the wall of the esophagus. Although EIPD is typically associated with esophageal narrowing, only a few cases have been described in which it was associated with esophageal dysmotility. We report the case of a 52-yr-old female who presented with dysphagia and who had EIPD protruding from a 5-cm-long concentric distal esophageal stricture, with a markedly dilated upper and middle third of the esophagus. The short segment of the esophagus between the stricture and the lower esophageal sphincter also was dilated. Barium column was held up above a nonrelaxing lower esophageal sphincter that opened after inhalation of amylnitrate. Esophageal manometry confirmed the presence of vigorous achalasia. Although EIPD has been associated with several other conditions, this is the first report of an association with achalasia.

Author List

Dua KS, Stewart E, Arndorfer R, Shaker R

Authors

Kulwinder S. Dua MD Professor in the Medicine department at Medical College of Wisconsin
Reza Shaker MD Assoc Provost, Sr Assoc Dean, Ctr Dir, Chief, Prof in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Deglutition Disorders
Diverticulum, Esophageal
Esophageal Achalasia
Esophageal Stenosis
Esophagus
Female
Humans
Middle Aged
Radiography