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Korean J Helicobacter  Up Gastrointest Res > Volume 15(3); 2015 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2015;15(3):196-199.
DOI: https://doi.org/10.7704/kjhugr.2015.15.3.196    Published online September 10, 2015.
A Rare Coincidence of Esophageal Intramural Pseudodiverticulosis with Esophageal Web
Dong Woo Lee, Ji Hyun Kim, Yeong Min Lee, Tae Seon Oh, Si Hyeong Lee, Min Ji Kim, Jin Won Hwang, Sang Heon Lee, Sang Young Seol
Department of Internal Medicine, Inje University Busan Paik Hospital, Busan, Korea. zep2000@inje.ac.kr
Abstract
We report a rare case of esophageal intramural pseudodiverticulosis (EIPD) associated with esophageal web in a 67-year-old man presenting with dysphagia. EIPD is characterized by multiple tiny flask-shaped outpouchings of the mucosa that extend into the muscular layer on esophagography. EIPD commonly presents with stricture and less commonly with esophageal web. Although etiologies of both EIPD and esophageal web are unclear, a chronic inflammatory condition has been proposed. Treatment of EIPD is usually directed at the associated conditions rather than at the pseudodiverticulosis itself. In our case, dysphagial was successfully relieved by endoscopic dilatation with incision methods for the esophageal web.
Key Words: Esophageal intramural pseudodiverticulosis; Esophageal web; Dysphagia; Endoscopic incision
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