Image in Surgery Diverticula of The Thoracic Esophagus Discover on a Gastroduodenal Transit

We present the case of a 49-year-old female patient with no past medical history. She presented with dysphagia and regurgitation for 8 months before admission. Physical examination was unremarkable. Blood tests were normal. Eso-gastro-duodenal fibroscopy was made and showed a huge diverticulum 31 cm from the dental arches. In order to better exploit this diverticulum, we completed with a transit which showed a large diverticulum at the level of 1/3 of the middle of the esophagus (Figure 1). The patient was operated bay right thoracoscopy and a diverticulectomy was done. The post-operative period was uneventful.

Diverticula of the thoracic esophagus are anatomically classified into diverticula of the proximal esophagus, the midthoracic esophagus and the distal esophagus [1]. Most of these diverticula are asymptomatic [2]. However, they may symptomatic. They are manifested by chest pain, dysphagia, and regurgitation. Eso-gastro-duodenal fibroscopy, the gastro-duodenal transit and the computed tomography of the chest are essential for the diagnosis. The treatment is surgical.