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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/28788

Title: Pneumomediastinum as a complication of esophageal intramural pseudodiverticulosis
Authors: Struyve, M.
Langmans, C.
Issue Date: 2018
Citation: ACTA GASTRO-ENTEROLOGICA BELGICA, 81(3), p. 433-435
Abstract: Dysphagia is a common complaint of patients seen at the outpatient clinic as well as at the emergency room. We report esophageal intramural pseudodiverticulosis (EIPD) as a cause of dysphagia that is less known by physicians and it is rarely described in the literature. EIPD is characterized by multiple, segmental or diffuse, flask-like outpouchings in the esophageal wall corresponding to dilated and inflamed excretory ducts of the submucosal esophageal glands. The underlying etiology remains unclear. Esophageal strictures, esophageal candidiasis and gastroesophageal reflux disease are often associated. The diagnosis can be made by upper gastrointestinal endoscopy, but barium esophagography is the modality of choice. Complications of EIPD are rare and include broncho-esophageal and esophagomediastinal fistula, pleural and pericardial effusion, abscesses, gastrointestinal bleeding from a web-like stenosis or esophageal perforation with pneumomediastinum. The treatment for EIPD should be directed towards treating underlying associated conditions and relieving symptoms rather than the pseudodiverticulosis itself.
Notes: [Struyve, M.; Robaeys, G.] Univ Hosp Gasthuisberg, Dept Gastroenterol, Leuven, Belgium. [Struyve, M.; Langmans, C.; Robaeys, G.] ZOL, Dept Gastroenterol, Schiepse Bos 6, B-3600 Genk, Belgium. [Langmans, C.] Univ Hosp Gasthuisberg, Dept Internal Med, Leuven, Belgium. [Robaeys, G.] Hasselt Univ, Fac Med & Life Sci, Hasselt, Belgium.
URI: http://hdl.handle.net/1942/28788
ISI #: 000455215500014
ISSN: 1784-3227
Category: A1
Type: Journal Contribution
Appears in Collections: Research publications

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