II. Diverticula of the Œsophagus

Autor: D'abreu Al
Rok vydání: 1949
Předmět:
Zdroj: The British Journal of Radiology. 22:423-426
ISSN: 1748-880X
0007-1285
Popis: Dr. Johnstone (1946) has given a fascinating account of the etiology and radiological appearances of these diverticula. I agree with him that most diverticula of the thoracic œsophagus are pulsion in type and not the result of traction. Since 1934 I have seen many tuberculous patients in sanatoria and have looked in vain for “traction” diverticula, although gross deviation of the main body of the œsophagus has been a commonplace finding, but invariably without associated dysphagia. When diverticula of hollow viscera are drawn upon by outside adhesions their fundal margins become “spiky”, as in the fully developed condition seen in colon diverticulitis. How different from the smooth outline seen in the typical mid-thoracic œsophageal diverticulum (Fig. 1). In support of the thesis that pulsion is the main factor, the following case is of interest. Miss K., age 27, was admitted for dysphagia. Four years before admission an attack of pneumonia was followed by repeated vomiting, with haemetemesis on two occasi...
Databáze: OpenAIRE