A rare case of giant epiphrenic diverticulum
DOI:
https://doi.org/10.18203/2349-2902.isj20250828Keywords:
Diverticulum, Epiphrenic, Rare, Giant diverticulum, Oesophageal diverticulumAbstract
Epiphrenic diverticulum is a type of pulsion diverticulum and are often asymptomatic and small in size. Symptomatic large epiphrenic dicverticulum has very low prevalence. We present a very rare case of giant oesophageal epiphrenic diverticulum of around 9 cm in size. Open thoracotomy or thorascopic procedure is generally require for the treatment. But with the help of robotic surgery, even very large epiphrenic can be excised transhiataly with good and early postoperative recovery. The robotic system has an advantage of better visualization and better degree of movement which help in the ease of dissection of the diverticulum. Large epiphrenic diverticulum in upper part of the lower oesophagus can be dissected and excised easily transhiatally avoiding thoracotomy-associated morbidity.
Metrics
References
Hukkeri VS, Jindal S, Qaleem M, Tandon V, Govil D. Robotic transhiatal excision of epiphrenic diverticula. J Robot Surg. 2016;10(4):365-8. DOI: https://doi.org/10.1007/s11701-016-0595-7
Ayoub K, Banjah B, Banjah B. A Case Report of an Epiphrenic Esophageal Diverticulum was Treated via Laparoscopic Transhiatal Diverticulectomy. Int J Surg Res Pract. 2019;6:105. DOI: https://doi.org/10.23937/2378-3397/1410105
Bhandarwar AH, Tungenwar PN, Sawakare YM, Wagh AN, Patel CB, Gandhi SS. Large Epiphrenic Diverticula: A Rare Case Presentation. Clin Pract. 2015;5(4):784. DOI: https://doi.org/10.4081/cp.2015.784
Gonzalez-Calatayud M, Targarona EM, Balague C, Rodriguez-Luppi C, Martin AB, Trias M. Minimally invasive therapy for epiphrenic diverticula: Systematic review of literature and report of six cases. J Minim Access Surg. 2014;10(4):169-74. DOI: https://doi.org/10.4103/0972-9941.141498
Chowdhury ATMM, Xuemei Z. A Case Report on Large Epiphrenic Diverticula. J Med Diagn Meth. 2016;5:215. DOI: https://doi.org/10.4172/2168-9784.1000215
Gorgoglione F, Castorani G, Palladino N, Orciulo GV, Ferretti GM, Palladino D, et al. Giant epiphrenic diverticulum: an unusual case from diagnosis to treatment. BJR Case Rep. 2022;8(3):20210232. DOI: https://doi.org/10.1259/bjrcr.20210232
Belsey R. Functional disease of the esophagus. J Thorac Cardiovasc Surg. 1966;52:164-88. DOI: https://doi.org/10.1016/S0022-5223(19)43430-2
Thomas ML, Anthony AA, Fosh BG, Finch JG, Maddern GJ. Oesophageal diverticula. Br J Surg. 2001;88(5):629-62. DOI: https://doi.org/10.1046/j.1365-2168.2001.01733.x
Reznik SI, Rice TW, Murthy SC, Mason DP, Apperson-Hansen C, Blackstone EH. Assessment of a patho-physiology-directed treatment for symptomatic epiphrenic diverticulum. Dis Esophagus. 2007;20(4):320-7. DOI: https://doi.org/10.1111/j.1442-2050.2007.00716.x
Yankov G, Mekov E, Kovacheva M, Vladimirov B, Petkov R. A Case of a Giant Epiphrenic Esophageal Diverticulum. Acta Medica Bulgarica Sciendo. 2020;47(1):56-9. DOI: https://doi.org/10.2478/amb-2020-0009
Pernazza G, Monsellato I, Pende V, Alfano G, Mazzocchi P, D'Annibale A. Fully robotic treatment of an epiphrenic diverticulum: report of a case. Minim Invasive Ther Allied Technol. 2012;21(2):96-100. DOI: https://doi.org/10.3109/13645706.2011.560608
Downloads
Published
How to Cite
Issue
Section
