Esophageal Intramural Pseudodiverticulosis Diagnosed by Combining Esophagogastroduodenoscopy, Esophagography, and High-resolution Manometry

  • Kunimitsu Atsushi
    Department of Surgery, Tohoku University Graduate School of Medicine, Japan
  • Ujiie Naoto
    Department of Surgery, Tohoku University Graduate School of Medicine, Japan
  • Sato Chiaki
    Department of Surgery, Tohoku University Graduate School of Medicine, Japan
  • Taniyama Yusuke
    Department of Surgery, Tohoku University Graduate School of Medicine, Japan
  • Okamoto Hiroshi
    Department of Surgery, Tohoku University Graduate School of Medicine, Japan
  • Fukutomi Toshiaki
    Department of Surgery, Tohoku University Graduate School of Medicine, Japan
  • Ozawa Yohei
    Department of Surgery, Tohoku University Graduate School of Medicine, Japan
  • Ohnuma Shinobu
    Department of Surgery, Tohoku University Graduate School of Medicine, Japan
  • Unno Michiaki
    Department of Surgery, Tohoku University Graduate School of Medicine, Japan
  • Kamei Takashi
    Department of Surgery, Tohoku University Graduate School of Medicine, Japan

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Abstract

<p>Esophageal intramural pseudodiverticulosis (EIPD) is a rare disease. A 78-year-old man with dysphagia presented to our hospital. The presence of diffuse esophageal spasm was suspected by his primary-care doctor. High-resolution manometry (HRM) showed no abnormal findings. The patient was diagnosed with EIPD and Candida esophagitis, by esophagogastroduodenoscopy (EGD) and esophagography. His symptoms improved after symptomatic treatment for Candida esophagitis with oral administration of an antifungal drug. EIPD should be considered in patients with dysphagia; EGD and esophagography should be performed when diagnosing EIPD. </p>

Journal

  • Internal Medicine

    Internal Medicine 62 (10), 1495-1499, 2023-05-15

    The Japanese Society of Internal Medicine

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