CONGENITAL TRUE DIVERTICULA OF THE ESOPHAGUS - A CASE-REPORT

Pseudodiverticulosis secondary to gastroesophageal reflux is a common disease in adults, but true esophageal diverticula are rare in infants and children. A 5-year-old boy was well until the age of 1 1/2 years when he started vomiting, An upper gastrointestinal series showed two diverticula bulging from the posterior right side of the middle esopha gus associated with slight hiatal hernia and short esophagus. Divertic ulectomy, the Collis-Nissen antireflux procedure, and pyloroplasty wer e performed simultaneously through a left thoracoabdominal incision. H istological examination of the diverticula showed that the wall of eac h diverticulum consisted of a full-thickness of esophageal wall, Becau se there was no tracheal remnant in the diverticula, this lesion is mo re likely to be a true diverticulum than a duplication. Copyright (C) 1997 by W.B. Saunders Company.