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Pulsion Diverticulum
Atif Zaheer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Esophageal saccular protrusion or outpouching; pseudodiverticulum
          • Definitions

            • Outpouching or sac-like protrusion of 1 or more layers of esophageal wall

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • General Features

                    • Gross Pathologic & Surgical Features

                      CLINICAL ISSUES

                      • Presentation

                        • Demographics

                          • Natural History & Prognosis

                            • Treatment

                              Selected References

                              1. Yam J et al: Esophageal diverticula. StatPearls [Internet]. StatPearls Publishing, 2021
                              2. Kasle DA et al: Hypopharyngeal diverticulum: toward a unified understanding of its etiopathogenesis. Dysphagia. 34(5):713-5, 2019
                              3. Otani K et al: Distal esophageal spasm with multiple esophageal diverticula successfully treated by peroral endoscopic myotomy. Clin J Gastroenterol. 10(5):442-6, 2017
                              4. Smith CD: Esophageal strictures and diverticula. Surg Clin North Am. 95(3):669-81, 2015
                              5. Aiolfi A et al: Endoscopic treatment of an epiphrenic diverticulum using a fully covered self-expanding metal stent. Endoscopy. 45 Suppl 2 UCTN:E101, 2013
                              6. Chen YC et al: Esophageal bezoar in a patient with esophageal epiphrenic diverticulum. Endoscopy. 45 Suppl 2 UCTN:E193-4, 2013
                              7. Hung JJ et al: Squamous cell carcinoma in a large epiphrenic esophageal diverticulum. Dig Dis Sci. 54(6):1365-8, 2009
                              8. Hung WK: Perforated esophagus or large diverticulum? Ann Thorac Surg. 87(5):1620, 2009
                              9. Kim Y et al: Achalasia associated with multiple esophageal diverticula. Endoscopy. 41 Suppl 2:E47-8, 2009
                              10. Plackett TP et al: Recurrent epiphrenic diverticulum after transabdominal diverticulectomy: report of a case and review of the literature. Hawaii Med J. 68(1):13-5, 2009
                              11. Fasano NC et al: Epiphrenic diverticulum: clinical and radiographic findings in 27 patients. Dysphagia. 18(1):9-15, 2003
                              12. Sasaki CT et al: Association between Zenker diverticulum and gastroesophageal reflux disease: development of a working hypothesis. Am J Med. 115 Suppl 3A:169S-71S, 2003
                              13. Rubesin SE et al: Killian-Jamieson diverticula: radiographic findings in 16 patients. AJR Am J Roentgenol. 177(1):85-9, 2001
                              14. Sydow BD et al: Radiographic findings and complications after surgical or endoscopic repair of Zenker's diverticulum in 16 patients. AJR Am J Roentgenol. 177(5):1067-71, 2001
                              15. Schima W et al: Association of midoesophageal diverticula with oesophageal motor disorders. Videofluoroscopy and manometry. Acta Radiol. 38(1):108-14, 1997
                              16. Ponette E et al: Radiological aspects of Zenker's diverticulum. Hepatogastroenterology. 39(2):115-22, 1992
                              17. Bruggeman LL et al: Epiphrenic diverticula. An analysis of 80 cases. Am J Roentgenol Radium Ther Nucl Med. 119(2):266-76, 1973
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Terminology

                                • Imaging

                                  • Top Differential Diagnoses

                                    • Clinical Issues

                                      TERMINOLOGY

                                      • Synonyms

                                        • Esophageal saccular protrusion or outpouching; pseudodiverticulum
                                      • Definitions

                                        • Outpouching or sac-like protrusion of 1 or more layers of esophageal wall

                                      IMAGING

                                      • General Features

                                        • Radiographic Findings

                                          • CT Findings

                                            DIFFERENTIAL DIAGNOSIS

                                              PATHOLOGY

                                              • General Features

                                                • Gross Pathologic & Surgical Features

                                                  CLINICAL ISSUES

                                                  • Presentation

                                                    • Demographics

                                                      • Natural History & Prognosis

                                                        • Treatment

                                                          Selected References

                                                          1. Yam J et al: Esophageal diverticula. StatPearls [Internet]. StatPearls Publishing, 2021
                                                          2. Kasle DA et al: Hypopharyngeal diverticulum: toward a unified understanding of its etiopathogenesis. Dysphagia. 34(5):713-5, 2019
                                                          3. Otani K et al: Distal esophageal spasm with multiple esophageal diverticula successfully treated by peroral endoscopic myotomy. Clin J Gastroenterol. 10(5):442-6, 2017
                                                          4. Smith CD: Esophageal strictures and diverticula. Surg Clin North Am. 95(3):669-81, 2015
                                                          5. Aiolfi A et al: Endoscopic treatment of an epiphrenic diverticulum using a fully covered self-expanding metal stent. Endoscopy. 45 Suppl 2 UCTN:E101, 2013
                                                          6. Chen YC et al: Esophageal bezoar in a patient with esophageal epiphrenic diverticulum. Endoscopy. 45 Suppl 2 UCTN:E193-4, 2013
                                                          7. Hung JJ et al: Squamous cell carcinoma in a large epiphrenic esophageal diverticulum. Dig Dis Sci. 54(6):1365-8, 2009
                                                          8. Hung WK: Perforated esophagus or large diverticulum? Ann Thorac Surg. 87(5):1620, 2009
                                                          9. Kim Y et al: Achalasia associated with multiple esophageal diverticula. Endoscopy. 41 Suppl 2:E47-8, 2009
                                                          10. Plackett TP et al: Recurrent epiphrenic diverticulum after transabdominal diverticulectomy: report of a case and review of the literature. Hawaii Med J. 68(1):13-5, 2009
                                                          11. Fasano NC et al: Epiphrenic diverticulum: clinical and radiographic findings in 27 patients. Dysphagia. 18(1):9-15, 2003
                                                          12. Sasaki CT et al: Association between Zenker diverticulum and gastroesophageal reflux disease: development of a working hypothesis. Am J Med. 115 Suppl 3A:169S-71S, 2003
                                                          13. Rubesin SE et al: Killian-Jamieson diverticula: radiographic findings in 16 patients. AJR Am J Roentgenol. 177(1):85-9, 2001
                                                          14. Sydow BD et al: Radiographic findings and complications after surgical or endoscopic repair of Zenker's diverticulum in 16 patients. AJR Am J Roentgenol. 177(5):1067-71, 2001
                                                          15. Schima W et al: Association of midoesophageal diverticula with oesophageal motor disorders. Videofluoroscopy and manometry. Acta Radiol. 38(1):108-14, 1997
                                                          16. Ponette E et al: Radiological aspects of Zenker's diverticulum. Hepatogastroenterology. 39(2):115-22, 1992
                                                          17. Bruggeman LL et al: Epiphrenic diverticula. An analysis of 80 cases. Am J Roentgenol Radium Ther Nucl Med. 119(2):266-76, 1973