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May 1965

Midesophageal Diverticulum With Hemorrhage: Report of a Case

Author Affiliations

From the Department of Surgery, University of Illinois College of Medicine and the University of Illinois Hospitals.

Arch Surg. 1965;90(5):713-715. doi:10.1001/archsurg.1965.01320110049009

Introduction  DIVERTICULA of the midthoracic esophagus are infrequent and rarely symptomatic. They are usually regarded as incidental findings on barium swallow radiographic studies. However, as Palmer1 has pointed out, "it is the tendency toward complication which renders this lesion important." The following case report is that of a large midesophageal diverticulum with hemorrhage as the only symptom and complication.

Report of Case  This 55-year-old white female (56-49-22) was in good health until March 1963, when she had an episode of cramping abdominal pain and vomiting, and passed a single large black stool; she was treated for "gastroenteritis" by her local physician and recovered promptly. An upper gastrointestinal series, not including esophagram, was not remarkable.In September 1963, the patient stated that she felt well until shortly after a light noon meal when she suddenly became nauseated and vomited large quantities of dark red blood and required a transfusion of