ODYNOPHAGIA CAUSED BY A PERICARDIAL DIVERTICULUM

A 31-yr-old female presented with odynophagia and weight loss. Upper g astrointestinal endoscopy, esophageal manometry, and chest x-ray all w ere normal. However, computerized tomography of the chest revealed a m ediastinal mass, which on mediastinoscopy proved to be a pericardial d iverticulum. Surgical excision of this diverticulum resulted in comple te resolution of her symptoms. This case report illustrates that media stinal lesions should be considered as a potential cause of odynophagi a when esophageal disease has been ruled out.