Esophageal Pseudodiverticulosis: A Rare Case of Dysphagia: 565

Esophageal Intramural Pseudodiverticulosis (EIPD) is a rare condition that typically presents with dysphagia. We report a case of EIPD presenting with progressive dysphagia and odynophagia. Initial esophagram outlined a shaggy mucosal appearance and a long proximal stricture (Figure 1). Upper endoscopy revealed numerous small diverticula and white patches confirmed to be Candida on pathology (Figure 2). The patient was treated with a proton pump inhibitor and fluconazole which resolved his symptoms three weeks later. EIPD is a benign condition but complications such as strictures, bleeding, spontaneous perforation, mediastinal abscesses, or pleural effusions may require an esophagectomy.Figure 1Figure 2