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Case1
Casedirectory
Intramuralpseudodiverticula
◼Casefindings:
◼Multiplecontrast-filledcavities,only1or2millimetermeterinthe
esophagealmucosa
◼Dilatedexcretoryductsofdeepmucousglandsinesophagus
◼Secondarytoesophagitis:pseudodiverticulavanishwhenthe
esophagitisistreated(MCCandida)
◼Dilatedsubmucosalglandsandducts,whicharesimilarto
Rokitansky-AschoffsinusesofGB
◼DDX:
◼Moniliasis
◼Glycogenacanthosis
Case2
Casedirectory
Esophagealvarices
◼Etiology:portalvenoushypertension
◼Classification
◼Uphillvarices:midtodistalesophagus,portalhypertension
◼Downhillvarices:upperormidesophagus,SVCobstruction
◼DDX:
◼Varicoidcarcinoma:superficialspreadingcarcinoma,with
thickenednodulartortuouslongitudinalfolds
◼Hasarigid,fixed,nodularfoldsthatdoNOTchangeconfiguration
(unlikevarices)
◼Esophagitiswiththickenedesophagealfolds
◼Lymphoma
◼Squamouscellcarcinoma
Case3
Pharyngealpouch
◼Casefindings:
◼Contrast-filledattheposteriorwalloftheesophagus
◼Arisesbetweenthesuperiorandthemiddlepharyngeal
constrictors(congenitallyweakpointofthepharyngeal
wall)
◼Esophagealdiverticula:
◼Pulsiondiverticula:containnomuscleintheirwallsotheytend
tostayfilledwithbariumaftertherestoftheesophagusempties
◼Tractiondiverticula:containmuscleintheirwallssotheytendto
emptywiththerestofesophagus
Esophagealdiverticulum
◼Pharyngo-esophageal(Zenker):
◼Herniationofmucosaandsubmucosathroughobliqueandtransversemuscle
bundlesofthecric
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