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KMID : 1164620190520010040
Korean Journal of Thoracic and Cardiovascular Surgery
2019 Volume.52 No. 1 p.40 ~ p.43
A Large Epiphrenic Esophageal Diverticulum Communicating with the Left Lower Lobe
Lim Suk-Kyung

Cho Jong-Ho
Abstract
Epiphrenic diverticula are known to cause a series of complications. We report the case of a 54-year-old woman who was diagnosed with an epiphrenic diverticulum at a regular checkup in November 2006. Ten years later, she presented with massive hematemesis. Imaging studies revealed an epiphrenic diverticulum measuring 7.8 cm in diameter and a large amount of bleeding inside the diverticulum. Computed tomography showed fistula formation between the diverticulum and the left lower lobe of the lung, leading to the development of a pulmonary abscess. Diverticulectomy and 180¡Æ posterior partial fundoplication were performed transabdominally. The pulmonary abscess was treated with antibiotics alone. She was discharged 16 days after the operation without any complications over 7 months of follow-up.
KEYWORD
Esophageal diverticulum, Esophagopulmonary fistula
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