Multiple giant mid-thoracic esophageal diverticula in a teenager

Publication date: Available online 19 August 2017 Source:Journal of Pediatric Surgery Case Reports Author(s): Moo Cho, Charles Snyder, Douglas Rivard, Joel Lim Esophageal diverticula in the pediatric population are rare. The etiologies and presentations can vary widely which can make it difficult to diagnose without imaging or direct visualization. We are reporting a case of a 14-year-old male with history of asthma, anorexia, weight loss, and chest discomfort. CXR findings of mediastinal widening prompted a more extensive evaluation. He was found to have two esophageal diverticula, phlegmonous changes, and osteomyelitis of the T5 and T6 vertebra. He was initially treated with IV antibiotic therapy, bypassing the affected area with nasogastric enteric tube feedings, and a cervical thoracic orthosis brace for spine stability. He regained his lost weight and became asymptomatic., returning to a regular diet. The family has declined to pursue surgical intervention at present.
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research