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

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Outpouching of all layers of esophageal wall due to perihilar pathology
            • External force on esophageal wall, such as mediastinal inflammation, that adheres and pulls on esophageal wall
            • Similar-appearing diverticulum may represent pulsion diverticulum (due to underlying esophageal dysmotility)

          IMAGING

          • General Features

            • Radiographic Findings

              • Imaging Recommendations

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • General Features

                    • Gross Pathologic & Surgical Features

                      • Microscopic Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Khaitan PG et al: Oesophageal traction diverticulum resulting from pulmonary tuberculosis. BMJ Case Rep. 13(3), 2020
                                    2. Aiolfi A et al: Semi-prone video-assisted thoracoscopy for the treatment of large infracarinal traction diverticula. Langenbecks Arch Surg. 404(6):771-7, 2019
                                    3. Guirguis S et al: Sarcoidosis causing mid-esophageal traction diverticulum. ACG Case Rep J. 3(4):e175, 2016
                                    4. Lopez A et al: Esophagobronchial fistula caused by traction esophageal diverticulum. Eur J Cardiothorac Surg. 23(1):128-30, 2003
                                    5. Raziel A et al: Sarcoidosis and giant midesophageal diverticulum. Dis Esophagus. 13(4):317-9, 2000
                                    6. Schima W et al: Association of midoesophageal diverticula with oesophageal motor disorders. Videofluoroscopy and manometry. Acta Radiol. 38(1):108-14, 1997
                                    7. Savides TJ et al: Dysphagia due to mediastinal granulomas: diagnosis with endoscopic ultrasonography. Gastroenterology. 109(2):366-73, 1995
                                    8. Duda M et al: Etiopathogenesis and classification of esophageal diverticula. Int Surg. 70(4):291-5, 1985
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Pathology

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Definitions

                                              • Outpouching of all layers of esophageal wall due to perihilar pathology
                                              • External force on esophageal wall, such as mediastinal inflammation, that adheres and pulls on esophageal wall
                                              • Similar-appearing diverticulum may represent pulsion diverticulum (due to underlying esophageal dysmotility)

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      • Gross Pathologic & Surgical Features

                                                        • Microscopic Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Khaitan PG et al: Oesophageal traction diverticulum resulting from pulmonary tuberculosis. BMJ Case Rep. 13(3), 2020
                                                                      2. Aiolfi A et al: Semi-prone video-assisted thoracoscopy for the treatment of large infracarinal traction diverticula. Langenbecks Arch Surg. 404(6):771-7, 2019
                                                                      3. Guirguis S et al: Sarcoidosis causing mid-esophageal traction diverticulum. ACG Case Rep J. 3(4):e175, 2016
                                                                      4. Lopez A et al: Esophagobronchial fistula caused by traction esophageal diverticulum. Eur J Cardiothorac Surg. 23(1):128-30, 2003
                                                                      5. Raziel A et al: Sarcoidosis and giant midesophageal diverticulum. Dis Esophagus. 13(4):317-9, 2000
                                                                      6. Schima W et al: Association of midoesophageal diverticula with oesophageal motor disorders. Videofluoroscopy and manometry. Acta Radiol. 38(1):108-14, 1997
                                                                      7. Savides TJ et al: Dysphagia due to mediastinal granulomas: diagnosis with endoscopic ultrasonography. Gastroenterology. 109(2):366-73, 1995
                                                                      8. Duda M et al: Etiopathogenesis and classification of esophageal diverticula. Int Surg. 70(4):291-5, 1985