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April 1980

Pseudodiverticulum of the Esophagus in the Newborn Infant

Am J Dis Child. 1980;134(4):417-418. doi:10.1001/archpedi.1980.04490010071020

Atresia of the esophagus, with or without tracheoesophageal fistula, is the most common congenital malformation of the upper gastrointestinal (GI) tract. Duplication of the esophagus and diverticulum (outpouching of all layers of the esophagus) are among the rare but still important congenital esophageal lesions. Lack of continuity of the esophageal wall could be congenital, disease related, or the end result of a diagnostic or therapeutic maneuver.

See p 367.

A pseudodiverticulum is a traumatic perforation of the esophagus that affects only the mucosa and submucosa but spares the muscularis.1 The lack of familiarity with its clinical and radiologic signs may result in unnecessary diagnostic delays or therapeutic misadventures. Fourteen cases of esophageal pseudodiverticulum have previously been reported in the literature. To our knowledge, this report is of the smallest premature infant affected with this condition, who was treated conservatively and experienced prolonged spontaneous closure.

Report of a Case.—A female