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Mid esophageal diverticulum with a bleeding ulcer: Case report and review.

机译:食道中部憩室出血性溃疡:病例报告和审查。

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摘要

Mid esophageal traction diverticulum is an uncommonfinding at endoscopy. Patients with this abnormality generally are asymptomatic. Mid esophageal diverticula are thought to be caused by mediastinal disease processes in which inflammation and lymphadenopathy cause retraction of segments of the pliable esophagus. Rarely,extension of this inflammatory process into adjacent lung, lymph nodes, or blood vessels results in pneumonia, bronchoesophageal fistulas, or GI bleeding. As well, ulceration of the diverticular mucosa is a rare but important cause of bleeding. This report describes a case of an intrathoracic, mid esophageal diverticulum with a bleedingulcer. The diagnosis and the treatment of esophageal diverticula are reviewed. To our knowledge, this is the first report of a case of a bleeding intrathoracic esophageal diverticulum in which the bleeding was successfully controlled endoscopically.
机译:食管中段憩室在内窥镜检查中并不常见。具有这种异常的患者通常是无症状的。食管中段憩室被认为是由纵隔疾病过程引起的,在该过程中,炎症和淋巴结肿大导致柔韧性的食道段回缩。这种炎症过程很少扩散到邻近的肺,淋巴结或血管,导致肺炎,支气管食管瘘或胃肠道出血。同样,憩室粘膜溃疡是出血的罕见但重要的原因。该报告描述了一例胸腔内食管憩室出血性溃疡。综述了食管憩室的诊断和治疗。据我们所知,这是胸腔内食管憩室出血一例的首次报道,其中内镜成功地控制了出血。

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