Hoffmann J C, Pistorius G, Müller P, Zeitz M
Innere Medizin II, Medizinische Klinik, Universitätskliniken des Saarlandes, Homburg/Saar, Germany.
J Intern Med. 2002 Apr;251(4):355-60. doi: 10.1046/j.1365-2796.2002.00964.x.
We describe a 77-year-old lady who presented with progressive retrosternal pain radiating to the left arm and the back. After exclusion of cardiac causes a large midoesophageal diverticulum was found on oesophago-gastro-duodenoscopy. Importantly, the retrosternal pain completely disappeared after endoscopic removal of impacted food from the diverticulum. After the surgical resection the patient became fully asymptomatic. This is the first example of angina-like chest pain which definitively resulted from a midoesophageal diverticulum. Therefore, midoesophageal diverticula should be considered as a rare differential diagnosis of exercise-induced retrosternal pain.
我们描述了一位77岁的女性，她出现进行性胸骨后疼痛，放射至左臂和背部。排除心脏病因后，在食管胃十二指肠镜检查中发现一个巨大的食管中段憩室。重要的是，从憩室中内镜取出嵌顿食物后，胸骨后疼痛完全消失。手术切除后，患者完全无症状。这是首例明确由食管中段憩室导致的心绞痛样胸痛。因此，食管中段憩室应被视为运动诱发胸骨后疼痛的一种罕见鉴别诊断。
