A case of esophageal intramural pseudodiver ticulosis on the whole esophagus

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  • Iwakami Yuko
    Division of Gastroenterology, Department of Gastroenterology, Keio University Hospital
  • Iwao Yasushi
    Division of Gastroenterology, Department of Gastroenterology, Keio University Hospital
  • Takada Yasuhiro
    Division of Gastroenterology, Department of Gastroenterology, Keio University Hospital
  • Iiduka Hideko
    Division of Gastroenterology, Department of Gastroenterology, Keio University Hospital
  • Sugino Yoshinori
    Diagnostic Radiology, Keio University Hospital
  • Mikami Shuji
    Diagnostic Pathology, Keio University Hospital
  • Mukai Makio
    Diagnostic Pathology, Keio University Hospital
  • Iwao Akiko
    Department of Gastroenterology, Saitama Social Insurance Hospital
  • Yoshida Takeshi
    Department of Gastroenterology, Saitama Social Insurance Hospital
  • Hibi Toshifumi
    Division of Gastroenterology, Department of Gastroenterology, Keio University Hospital

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Other Title
  • 食道全域におよぶ食道壁内偽憩室症の1例

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60歳代，男性。アルコール多飲歴あり。検診で食道に異常所見を指摘され当院を紹介受診。食道造影X線検査で頸部食道から胸部下部食道にかけて，1～4mmの無数のフラスコ状，カフスボタン状のバリウム造影剤の突出像を，上部消化管内視鏡検査では，全周性に無数の大小の陥凹を認め，食道壁内偽憩室症生検組織では非特異的な慢性炎症性細胞浸潤，粘膜下層の強い線維化に加え，微小憩室の開口部が観察された。真菌感染症，狭窄等の合併症に留意し経過観察が必要と考えられた。

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