DOI: 10.12890/2025_005609

A rare case of esophageal intramural pseudodiverticulosis

Authors

  • Manhal Aldaher Department of Gastroenterology and Hepatology, King Saud Medical City, Riyadh, Saudi Arabia
  • Mohamed Elbayoumy Department of Gastroenterology and Hepatology, King Saud Medical City, Riyadh, Saudi Arabia
  • Abdulrahman Alangari Department of Gastroenterology and Hepatology, King Saud Medical City, Riyadh, Saudi Arabia; Department of Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
  • Ibrahim Alruzug Department of Gastroenterology and Hepatology, King Saud Medical City, Riyadh, Saudi Arabia

a.algassim@ksmc.med.sa

Keywords

Oesophageal intramural pseudodiverticulosis, dysphagia, oesophageal motility disorders

Abstract

We report the case of a 45-year-old male who presented with 10-month progressive dysphagia to solids and liquids and was subsequently diagnosed with oesophageal intramural pseudodiverticulosis (EIPD). EIPD is an uncommon benign condition characterized by multiple small outpouchings within the oesophageal wall, measuring about 1-4 mm in length and 1-2 mm in width. This case emphasizes the importance of thorough diagnostic evaluation to exclude associated conditions and potential complications. The patient’s symptoms, diagnostic workup, and treatment approaches are discussed, emphasizing the importance of recognizing this rare condition in the differential diagnosis of dysphagia and highlighting the importance of patient follow-up for optimal patient outcomes and to avoid complications. The clinical presentation can vary, but dysphagia is the most common symptom. Treatment of oesophageal intramural pseudodiverticulosis has historically been limited to addressing the underlying condition and symptom management with acid suppression, anti-fungal therapy, and endoscopic dilation in areas of stricture.

View the entire article

Downloads

References

  1. Sabanathan S, Salama F, Morgan WE. Oesophageal intramural pseudodiverticulosis. Thorax 1985;40:849-857. doi: 10.1136/thx.40.11.849
  2. Attila T, Marcon NE. Esophageal intramural pseudodiverticulosis with food impaction. Can J Gastroenterol 2006;20:37-38. doi: 10.1155/2006/373264
  3. Hahne M, Schilling D, Arnold JC, Riemann JF. Esophageal intramural pseudodiverticulosis: review of symptoms including upper gastrointestinal bleeding. J Clin Gastroenterol 2001;33:378-382. doi: 10.1097/00004836-200111000-00007
  4. Umlas J, Sakhuja R. The pathology of esophageal intramural pseudodiverticulosis. Am J Clin Pathol 1976;65:314-320. doi: 10.1093/ajcp/65.3.314. PMID: 816192
  5. Mendl K, McKay J, Tanner CH. Intramural diverticulosis of the oesophagus and Rokitansky-Aschoff sinuses in the gall-bladder. Br J Radiol 1960;33:496-501.
  6. Takeshita N, Kanda N, Fukunaga T, Kimura M, Sugamoto Y, Tasaki K, et al. Esophageal intramural pseudodiverticulosis of the residual esophagus after esophagectomy for esophageal cancer. World J Gastroenterol 2015;21:9223-9237. doi: 10.3748/wjg.v21.i30.9223
  7. Blum-Guzman JP, Velocci V, Munoz JC. Esophageal Intramural Pseudodiverticulosis With Tract Formation, Without Evidence of Candidiasis, in a Patient With HIV Infection. Clin Gastroenterol Hepatol 2016;14:e91-2. doi: 10.1016/j.cgh.2016.03.014
  8. O’Connor OJ, Brady A, Shanahan F, Quigley E, O’Riordain M, Maher MM. Esophageal intramural pseudodiverticulosis characterized by barium esophagography: a case report. J Med Case Rep 2010;4:145. doi: 10.1186/1752-1947-4-145
  9. Brühlmann WF, Zollikofer CL, Maranta E, Hefti ML, Bivetti J, Giger M, et al. Intramural pseudodiverticulosis of the esophagus: report of seven cases and literature review. Gastrointest Radiol 1981;6:199-208. doi: 10.1007/BF01890250
  10. Yamamoto S, Tsutsui S, Hayashi N. Esophageal intramural pseudodiverticulosis: a rare cause of esophageal stricture. Clin Gastroenterol Hepatol 2010;8:A28. doi: 10.1016/j.cgh.2009.12.012
  11. Ali O, Asumu H, Kaur T, Mathew A, Kim R. A rare cause of dysphagia due to esophageal intramural pseudodiverticulosis: a case report and review of literature. BMC Gastroenterol 2020;20:72. doi: 10.1186/s12876-020-01209-y
  12. Chiba T, Iijima K, Koike T, Uno K, Asano N, Shimosegawa T. A case of severe esophageal intramural pseudodiverticulosis whose symptoms were ameliorated by oral administration of anti-fungal medicine. Case Rep Gastroenterol 2012;6:103-110. doi: 10.1159/000336846

Published

2025-06-23

Issue

Vol. 12 No. 7 (2025)

Categories

How to Cite

1.
Aldaher M, Elbayoumy M, Alangari A, Alruzug I. A rare case of esophageal intramural pseudodiverticulosis. EJCRIM [Internet]. 2025 Jun. 23 [cited 2026 Nov. 3];12(7). Available from: https://ejcrim.com/index.php/ejcrim/article/view/5609

Most read articles by the same author(s)