Laparoscopy in the treatment of a giant true epiphrenic diverticulum with migration of the gastrointestinal anastomosis staples

Authors

• Nasr S. Abu-Daff, Department of Surgery, Riyadh Military Hospital A12, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia. E-mail: N.Abudaff{at}rmh.edu.sa/ nasrabudaff{at}yahoo.com
• Saleh N. Abu-Daff, Department of Surgery, Riyadh Military Hospital A12, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia. E-mail: N.Abudaff{at}rmh.edu.sa/ nasrabudaff{at}yahoo.com
• Abdulrahman Rubayaan, Department of Surgery, Riyadh Military Hospital A12, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia. E-mail: N.Abudaff{at}rmh.edu.sa/ nasrabudaff{at}yahoo.com
• Azam Abu-Shaaban, Department of Surgery, Riyadh Military Hospital A12, PO Box 7897, Riyadh 11159, Kingdom of Saudi Arabia. E-mail: N.Abudaff{at}rmh.edu.sa/ nasrabudaff{at}yahoo.com

Abstract

Our case is a 62-year-old diabetic man with a long-standing history of regurgitation, halitosis, recurrent chest infection, and most recently upper gastro-intestinal bleeding. He was diagnosed 10 years earlier with an epiphrenic esophageal diverticulum, and also has a family history of this condition. Barium study revealed a 10x10 cm epiphrenic diverticula with a 4 cm neck, the lower margin of the opening lying 6 cm from the gastro-esophageal junction. Endoscopy confirmed the x-ray findings, and motility studies were within normal limits. The patient underwent laparoscopic excision of the diverticulum via the trans-abdominal approach. Histopathological examination revealed this diverticulum to be of the true type.

Article Type

Case Report

First Page

295

Last Page

298

Recommended Citation

Abu-Daff, Nasr S.; Abu-Daff, Saleh N.; Rubayaan, Abdulrahman; and Abu-Shaaban, Azam (2009) "Laparoscopy in the treatment of a giant true epiphrenic diverticulum with migration of the gastrointestinal anastomosis staples," Saudi Medical Journal: Vol. 30: Iss. 2, Article 23.
DOI: https://doi.org/10.15537/1658-3175.4640