A Case Report of an Epiphrenic Esophageal Diverticulum was Treated via Laparoscopic Transhiatal Diverticulectomy

Abstract

Introduction: Epiphrenic diverticulum is a relatively rare clinical case. It is defined as an outpouching of the mucosal and submucosal layers through the muscular layer of esophagus in association with motility disorders. Most patients are asymptomatic and the other manifest with variable symptoms including dysphagia, regurgitation, halitosis, vomiting, heartburn and weight loss. Presentation of case: Herein we report a case of a 50-year-old female who presented to our hospital with complaint of dysphagia and weight loss. The clinical and radiological findings suggested left epiphrenic diverticulum about 3 cm in diameter. As the best and most appropriate treatment, we performed laparoscopic transhiatal diverticulectomy, Heller esophageo cardiomyotomy and Dor anterior fundoplication. The patient was discharged home in the second day with some recommendations and she was well. Discussion: The main treatment of epiphrenic diverticula is diverticulectomy transhiatal via laparoscopy followed by Heller myotomy and antireflux procedure. Conclusion: We advise surgeons to consider the operative approach because it is safe, effective and has less complications compared the other approaches.