Naqvi Haider, Yousaf Muhammad Nadeem, Sandhu Gavneet, Bhansali Deepty, Farooqi Rehan
Department of Medicine, Medstar Union Memorial Hospital, Baltimore, Maryland, USA.
Department of Medicine, MedStar Good Samaritan Hospital, Baltimore, Maryland, USA.
Case Rep Gastroenterol. 2021 Jun 21;15(2):551-556. doi: 10.1159/000517093. eCollection 2021 May-Aug.
Esophageal intramural pseudodiverticulosis (EIPD) is a rare disorder of the esophagus characterized by the presence of outpouching flask-shaped lesions. These lesions represent false lumens that may be scattered throughout the esophageal wall. We present a rare case of EIPD complicated with esophageal strictures. The case is unique because the small lesions of EIPD remained undiagnosed for many years on prior esophagogastroduodenoscopy examinations until complicated with worsening symptoms of dysphagia due to esophageal stricture. The patient was managed with serial dilations of esophageal stricture. Diagnosing these lesions may be missed in early stages as the lesions are small and may require other radiological modalities to confirm the diagnosis. EIPD lesions itself can be managed conservatively with anti-inflammatory therapy and treatment of underlying risk factors. Those with severe disease and coexisting complications are managed with endoscopic or surgical interventions.
食管壁内假性憩室病（EIPD）是一种罕见的食管疾病，其特征是存在烧瓶状的外突病变。这些病变代表可能散布于食管壁的假腔。我们报告一例罕见的EIPD合并食管狭窄病例。该病例独特之处在于，EIPD的微小病变在之前的食管胃十二指肠镜检查中多年未被诊断出来，直到因食管狭窄导致吞咽困难症状加重才被发现。该患者接受了食管狭窄的系列扩张治疗。由于病变较小，早期可能会漏诊这些病变，可能需要其他放射学检查方法来确诊。EIPD病变本身可以通过抗炎治疗和潜在危险因素的处理进行保守治疗。患有严重疾病和并存并发症的患者则采用内镜或手术干预治疗。
