Uncommon True Traction Diverticulum in the Proximal Thoracic Esophagus-A Case Report

罕見真性牽引式之近端胸腔食道憩室－病例報告

王皓巍(Hao-Wei Wang) ； 王孔民(Kung-Min Wang) ； 王良順(Liang-Shun Wang)

《胸腔醫學》 20卷6期 (2005/12) Pp. 642-647

https://doi.org/10.29806/TM.200512.0018

摘要

胸腔段的食道憩室是一少見的疾病，在文獻上多位於食道中段以及橫膈上部之區域。近端的胸腔食道憩室（靠近胸腔入口）則更為罕見，且文獻上的病例幾乎皆為推進式的假性憩室。我們報告一位60歲的男性病志，主訴進行性的吞嚥困難及食物逆流，食道鏡檢與食道攝影檢查發現一個位於胸腔入口處的食道憩室。食道功能檢查結果並無食道運動功能障礙。病患接受憩室固定術的手術治療，此憩室具有完整的食道壁。這個憩室形成的原因推測是由於肺結核感染後形成的結核肉芽腫所產生的牽引力量。病患接受手術治療後，症狀得到明顯的改善。

關鍵字

食道憩室 ； 吞嚥障礙 ； 食道運動功能障礙

並列摘要

Diverticula of the thoracic esophagus are uncommon disorders. Most of the reported cases occurr in the mid-esophageal and epiphrenic regions. Proximal thoracic esophageal divercula are extremely rare, and have been reported almost exclusively as pulsion-typed false diverticula. Here we report a 60-year-old male who presented with progressive swallowing disturbance and food regurgitation. Esophagoscopy and esophagography disclosed an esophageal diverticulum at the thoracic inlet. The patient underwent simple diverticulopexy surgery. The diverticulum contained whole layers of the esophageal wall. Traction force from the tubercular granuloma in the right apical lung, due to previous tuberculosis infection, was thought to be responsible for its pathogenesis. The symptoms were successfully alleviated after surgery.

並列關鍵字

esophageal diverticulum ； deglutition disorders ； esophageal motility disorders