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Case Reports
. 2017 May 22:82:279-282.
doi: 10.12659/PJR.899248. eCollection 2017.

Mid-Esophageal Diverticulum Mimicking an Aortic Aneurysm on Chest Radiography

Geena Benjamin  1 , Shivaprakash Basavanthaiah Hiremath  1 , Srikiran Thayille Kandy  1 , Charamel Sankaran Kesavan  2
Affiliations
Case Reports

Mid-Esophageal Diverticulum Mimicking an Aortic Aneurysm on Chest Radiography

Geena Benjamin et al. Pol J Radiol. .

Abstract

Background: Mid-esophageal region is an uncommon location of esophageal diverticula, a condition usually diagnosed in elderly individuals.

Case report: We report a case of an elderly male with incidental finding of mediastinal lesion, which was initially thought to be an aortic aneurysm. Further evaluation demonstrated a mid-esophageal diverticulum at the level of the carina. We present patient's medical history and imaging, followed by a discussion on symptoms and management.

Conclusions: Knowledge of benign conditions that might mimic a mediastinal vascular pathology is important for therapeutic and prognostic reasons, as they are often managed conservatively.

Keywords: Deglutition Disorders; Diverticulum, Esophageal; Esophageal Motility Disorders; Esophagectomy; Mediastinum.

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Figures

Figure 1
Figure 1
(A) Frontal chest radiograph showed prominence in the region of ascending aorta mimicking an aneurysm (solid arrow). (B) Left lateral radiograph showed radio dense lesion inferior to arch of aorta with mass effect on trachea (dotted arrow).
Figure 2
Figure 2
(A, B) Barium swallow showed large diverticulum arising from right lateral wall of mid esophagus (curved arrow) with normal appearing distal esophagus (solid arrow).
Figure 3
Figure 3
(A, B) ‘Axial CT chest in mediastinal window showed retained food particles in the diverticulum (solid arrow) and retained oral contrast in the dependent location (dotted arrow).
See this image and copyright information in PMC

References

    1. Thacker PG, Mahani MG, Heider A, Lee EY. Imaging evaluation of mediastinal masses in children and adults: practical diagnostic approach based on a new classification system. J Thorac Imaging. 2015;30(4):247–67. - PubMed
    1. Gore RM, Levine MS. Textbook of gastrointestinal radiology. 3rd ed. Philadelphia: Saunders Elsevier; 2008. pp. 475–77.
    1. Constantini M, Zaninotto G. Oesophageal diverticula. Best Pract Res Clin Gastroenterol. 2004;18:3–17. - PubMed
    1. Thomas ML, Anthony AA, Fosh BG. Oesophageal diverticula. Br J Surg. 2001;88:629–42. - PubMed
    1. Khan N, Ismail F, Van de Werke IE. Oesophageal pouches and diverticula: A pictorial review. S Afr J Surg. 2012;50(3):71–75. - PubMed

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