PMC6556739_01
Timeline of symptoms, diagnostic testing, intervention, and postoperative course. EGD = esophagogastroduodenoscopy, CT = computed tomography, EUS = endoscopic ultrasound, FNA = fine needle aspiration, OR = operating room, m = months, w = weeks, d = days.
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A 55-year-old healthy woman was referred to our institution with a two-year history of progressive dysphagia to solids (Fig. 1).
Diagnostic evaluations of a patient presenting with a two-year history of dysphagia. (A) Esophagogram demonstrating an intraluminal mass; (B) Endoscopic view of pedunculated lesion (arrow); (C) EUS demonstrating apparent submucosal origin.
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Endoscopic ultrasound (EUS) demonstrated a pedunculated mass with a submucosal origin beginning at 20 cm from the incisors on the right side of the neck (Fig. 2).
Intraoperative findings during planned resection of suspected esophageal mass. (A) Esophagoscopy after mobilization of the diverticulum revealed a patent esophageal lumen (asterisk) and diverticular ostium (arrow); (B) Intraoperative photograph; esophagus (asterisk) and approximate level of resection (dashed line) are marked.
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The diverticulum was fully mobilized and resected using a stapler (Fig. 3).