PubMed · 119363
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B Stegemann, P Langhans, M Clemens, B Kessler. 1979-11-10. [Thoracic esophageal diverticula].. https://pubmed.ncbi.nlm.nih.gov/119363/
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Of 97 patients with mediastinal granuloma, 13 had involvement of the esophagus by extension from adjacent lymph nodes or pleura. A knowledge of the anatomic relationships of these structures is important in understanding the distribution and radiologic features of these lesions. The most common manifestation was extrinsic compression, being present in 7 (54%) of the 13 patients. Three patients (31%) had either a fistula or a sinus tract. Esophageal stricture and diverticulum formation also occurred. Mediastinal granuloma should be considered in the differential diagnosis in patients with any of these findings.
In 1764 Dr. Abraham Ludlow communicated to the Society of Physicians the first anatomic and pathophysiological description of an esophageal diverticulum. That report adeptly detailed this esophageal malady and exemplified the perceptive scientific insight spawned by the hunterian investigative spirit of the mid-eighteenth century.
Esophageal Intramural Pseudodiverticulosis (EIP) is a very rare disease, which may affect patients of all age. EIP is characterized by dilatation of the esophageal submucosal glandular elements. The characteristic radiographic appearance supported by endoscopy makes the diagnosis. Stenosis and motility disturbance caused by secondary chronic esophagitis due to EIP were found in most patients. The etiology of EIP is unknown.