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Presenting as Mideosophageal Web and Diverticulum

Maurice L. Kelley, Jr., MD; John Murtagh, MD; William C. McCarty, Jr., MD

JAMA. 1968;204(1):73-75.

Abstract
A 56-year-old man experienced intermittent sticking of food with increasing severity for 13 years. Dysphagia was due to a web-like narrowing at the junction of the upper and middle thirds of the esophagus, associated with a small diverticulum-like outpouching. Endoscopic dilatation and subsequent barium x-ray studies showed it to represent the origin of a complete reduplication of the esophagus. Esophagoscopic manipulation produced complete relief of dysphagia while access of swallowed radiopaque material to the reduplicated segment was transitory.

Author Affiliations
From the departments of medicine, surgery, and radiology, Dartmouth Medical School, and Mary Hitchcock Memorial Hospital, Hanover, NH.

Footnotes
Reprint requests to Hitchcock Clinic, Hanover, NH 03755 (Dr. Kelley)

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