A Rare Case of Esophageal Intramural Pseudodiverticulosis with Concomitant Eosinophilic Esophagitis

2018 ◽  
Vol 113 (Supplement) ◽  
pp. S1042
Author(s):  
Vahe Shahnazarian ◽  
Amit Mori ◽  
Madhavi Reddy
Keyword(s):  
Eosinophilic Esophagitis ◽  
Rare Case ◽  
Esophageal Intramural Pseudodiverticulosis

Tu1228 Esophageal Intramural Pseudodiverticulosis and Concomitant Eosinophilic Esophagitis: A Novel Case Series

2016 ◽  
Vol 83 (5) ◽  
pp. AB584
Author(s):  
Michael A. Scaffidi ◽  
Ankit Garg ◽  
Brandon Ro ◽  
Christopher Wang ◽  
Errol Colak ◽  
...  
Keyword(s):  
Eosinophilic Esophagitis ◽  
Case Series ◽  
Esophageal Intramural Pseudodiverticulosis

Not always eosinophilic esophagitis – intramural pseudodiverticulosis of the esophagus – a case report and literature review

2020 ◽  
Vol 58 (12) ◽  
pp. 1201-1207
Author(s):  
Thomas Frieling ◽  
Christian Kreysel ◽  
Michael Blank ◽  
Dorothee Mülle ◽  
Philipp Euler ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Eosinophilic Esophagitis ◽  
Esophageal Stenosis ◽  
Barium Swallow ◽  
Caucasian Woman ◽  
Literature Overview ◽  
Sex Risk ◽  
History Of ◽  
Esophageal Intramural Pseudodiverticulosis

Abstract Background Intramural pseudodiverticulosis of the esophagus (EIPD) is a rare disease leading to dysphagia, chest pain, and weight loss. The diagnosis is difficult, and the disease can be confounded with eosinophilic esophagitis (EoE). We present a patient with esophageal intramural pseudodiverticulosis and a literature review. Case report The 45-year-old white caucasian woman with a history of nicotine and alcohol abuse had progressive hoarseness and severe dysphagia for solid food. Esophagogastroduodenoscopy (EGD) showed proximal esophageal stenosis, thrush esophagitis, and mucosal alteration with trachealization suspicious of EoE. However, repeated bouginage EGD and barium swallow revealed typical signs of esophageal intramural pseudodiverticulosis (EIPD). The patient was treated successfully by bougingage, acid suppression, and antifungal therapy. The literature analysis revealed the characteristics of EIPD according to age, sex, risk factors, and therapy modalities. Conclusion The case report and the literature overview suggest that EIPD can be confounded with EoE.

scholarly journals Recurrent Dysphagia Associated with Esophageal Intramural Pseudodiverticulosis

2021 ◽  
pp. 551-556
Author(s):  
Haider Naqvi ◽  
Muhammad Nadeem Yousaf ◽  
Gavneet Sandhu ◽  
Deepty Bhansali ◽  
Rehan Farooqi
Keyword(s):  
Risk Factors ◽  
Rare Case ◽  
Esophageal Stricture ◽  
Severe Disease ◽  
Rare Disorder ◽  
Esophageal Wall ◽  
Surgical Interventions ◽  
Esophageal Strictures ◽  
Esophageal Intramural Pseudodiverticulosis ◽  
Underlying Risk

Esophageal intramural pseudodiverticulosis (EIPD) is a rare disorder of the esophagus characterized by the presence of outpouching flask-shaped lesions. These lesions represent false lumens that may be scattered throughout the esophageal wall. We present a rare case of EIPD complicated with esophageal strictures. The case is unique because the small lesions of EIPD remained undiagnosed for many years on prior esophagogastroduodenoscopy examinations until complicated with worsening symptoms of dysphagia due to esophageal stricture. The patient was managed with serial dilations of esophageal stricture. Diagnosing these lesions may be missed in early stages as the lesions are small and may require other radiological modalities to confirm the diagnosis. EIPD lesions itself can be managed conservatively with anti-inflammatory therapy and treatment of underlying risk factors. Those with severe disease and coexisting complications are managed with endoscopic or surgical interventions.

scholarly journals Esophageal Intramural Pseudodiverticulosis and Concomitant Eosinophilic Esophagitis: A Case Series

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Michael A. Scaffidi ◽  
Ankit Garg ◽  
Brandon Ro ◽  
Christopher Wang ◽  
Tony T. C. Yang ◽  
...  
Keyword(s):  
Eosinophilic Esophagitis ◽  
Case Series ◽  
Clinical Information ◽  
Esophageal Wall ◽  
Food Bolus ◽  
First Case ◽  
Academic Center ◽  
Potential Association ◽  
Esophageal Intramural Pseudodiverticulosis ◽  
Characteristic Features

Background. Esophageal intramural pseudodiverticulosis (EIPD) is an idiopathic benign chronic disease characterized by flask-like outpouchings of the esophageal wall. It is unknown whether there is a genuine association between EIPD and eosinophilic esophagitis (EoE).Aims. To investigate a possible relationship between EIPD and EoE.Methods. Patients with radiographic or endoscopic evidence of pseudodiverticulosis were identified from the database at a single academic center. Cases were analyzed in three areas: clinical information, endoscopic findings, and course.Results. Sixteen cases of esophageal pseudodiverticulosis were identified. Five patients had histologic evidence of eosinophilic esophagitis. Patients with EoE had pseudodiverticula in the mid-to-distal esophagus while those with EIPD had pseudodiverticula predominantly in the proximal esophagus (p<0.001). EoE with pseudodiverticulosis occurred in younger patients (p<0.019). Food bolus obstructions were more common in patients with EoE and pseudodiverticulosis than in EIPD (p<0.034).Conclusions. This is the first case series supporting a potential association between EoE and pseudodiverticulosis. We also identify characteristic features of pseudodiverticulosis that may raise clinical suspicion of underlying eosinophilic esophagitis.

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