De La Torre-León G, Bevia-Pérez F, Correa-Terrazas SE

Language: Spanish
References: 11
Page: 93-97
PDF size: 288.93 Kb.

ABSTRACT

Introduction: Proximal esophageal diverticula are a rare entity, with Zenker’s diverticulum being the most common presentation, accounting for 60 to 65% of all cases. Laimer’s diverticulum is an even more rare variant, which arises below the cricopharyngeus muscle, in Laimer’s zone of weakness. Only 5 cases have been reported in the literature, and it is believed to be a push diverticulum, associated with esophageal dysmotility. Clinical case: 78-year-old female, with solid dysphagia, halitosis and regurgitation of 6 months of evolution. Water soluble contrast swallow shows a saccular image in the middle posterior esophageal line, suggestive of diverticulum. Surgical intervention was performed, finding a 7 × 3 cm esophageal diverticulum with a base of 3.5 cm, protruding below the cricopharyngeal muscle. A diverticulectomy was performed with a TA linear stapler and distal myotomy. Conclusion: Laimer’s Diverticulum is a rare variant of pharyngoesophageal diverticula. The barium esophagogram is the most useful imaging method for diagnosis. Open surgery is the standard for the treatment, being the endoscopic management useful in patients with multiple comorbidities and high surgical risk.

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