关键词: Congenital disorders Gastrointestinal surgery Oesophagus

Mesh : Deglutition Disorders / etiology Diverticulum Diverticulum, Esophageal / diagnosis diagnostic imaging Gastroesophageal Reflux / complications surgery Humans Infant Male

来  源:   DOI:10.1136/bcr-2022-249080   PDF(Pubmed)

Abstract:
Oesophageal diverticulum occurring secondary to motility disorders or gastro-oesophageal reflux disease (GERD) is common in adults but true congenital oesophageal diverticula are rare in infants and children. We present a case of a toddler boy who presented with dysphagia and vomiting after feeds after weaning was attempted starting at 6 months of age. Barium esophagogram revealed a diverticulum in the upper one-third of the oesophagus within the thoracic cavity. The child underwent multiple interventions elsewhere without definitive surgery that highlights the rarity of this condition. Thoracotomy and repair were performed by us with a satisfactory outcome. The review of the literature on the clinical presentation and management of this rare condition has been discussed, highlighting similar reported cases.
摘要:
继发于运动障碍或胃食管反流病(GERD)的食管憩室在成人中很常见,但真正的先天性食管憩室在婴儿和儿童中很少见。我们介绍了一个蹒跚学步的男孩,该男孩从6个月大开始尝试断奶后进食后出现吞咽困难和呕吐。钡食管造影显示胸腔内食道上部三分之一处存在憩室。这名儿童在其他地方接受了多次干预,没有进行明确的手术,这凸显了这种情况的罕见性。我们进行了开胸手术和修复,结果令人满意。对这种罕见疾病的临床表现和处理的文献进行了综述,强调类似的报告病例。
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