Laparoscopic Resection of a Distal Esophageal Diverticulum With Associated Leiomyoma

Kathleen M Lamb, MD, David Tichansky, MD, Karen Chojnacki, MD, Ernest Rosato, MD. Thomas Jefferson University Hospital


We report the interesting case of a 30 year old female, presenting with symptoms of progressive dysphagia, regurgitation of liquid and solid foods, and a 38 lb weight loss over several months. Her pre-operative work-up revealed a distal esophageal diverticulum with an associated mass suspicious for a leiomyoma, along with diffuse esophageal spasm and a mildly elevated lower esophageal sphincter resting pressure. She subsequently underwent a laparoscopic, rather than thoracoscopic diverticulectomy, with resection of the attached leiomyoma and an extensive myotomy which extended from above the diverticulectomy site to the gastric cardia. This produced resolution of the patient’s symptoms of regurgitation and dysphagia. Herein, we describe what we believe to be the first documented case of a concurrent esophageal diverticulum and leiomyoma resection utalizing a laparoscopic approach.

Session Number: VidTV3 – Video Channel Rotation Day 3
Program Number: V125

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