Mid-esophageal Diverticular Bleeding in a Patient with Kyphosis

Intern Med. 2019 Nov 15;58(22):3239-3242. doi: 10.2169/internalmedicine.2951-19. Epub 2019 Jul 22.

Abstract

Mid-esophageal diverticulum is a rare disease, formed by the traction caused by inflamed bronchial lymph nodes or by pulsion induced by motility disorder. We herein report a case of mid-esophageal diverticular bleeding in a patient with kyphosis who was taking an anti-platelet drug. She was successfully treated with endoscopic hemostasis. An 80-year-old woman presented to our emergency department with hematemesis. She had kyphosis and was taking dipyridamole for her chest pain. Emergent upper endoscopy revealed bleeding from a mid-esophageal diverticulum; hemostasis was achieved via clipping. Mid-esophageal diverticula can cause upper gastrointestinal bleeding. An endoscopic examination and hemostasis are effective treatments.

Keywords: diverticular bleeding; mid-esophageal diverticula.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Diverticulitis / complications*
  • Diverticulum, Esophageal / complications*
  • Female
  • Gastrointestinal Hemorrhage / complications*
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / therapy
  • Hematemesis / etiology
  • Hemostasis, Endoscopic / methods
  • Humans
  • Kyphosis / complications*
  • Platelet Aggregation Inhibitors / administration & dosage

Substances

  • Platelet Aggregation Inhibitors