CTICasesEsophageal Achalasia and Giant Pulsion Diverticulum
Imaging findings
Chest radiograph and CT show a large, air-fluid filled mass in the middle mediastinum displacing the trachea anteriorly. Esophagram confirms severe achalasia with a giant esophageal pulsion diverticulum arising from the distal esophagus.
Key takeaways
Esophageal achalasia causes chronic distal obstruction, increasing luminal pressure and predisposing patients to the formation of pulsion diverticula. These giant diverticula can present as air-fluid levels in the mediastinum on radiographs, mimicking hiatal hernias or mediastinal abscesses.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Fibrosing Mediastinitis Infiltrating the Left Pulmonary ArteryInfection
- Cystic Fibrosis with Massive Bronchial CollateralsCongenital
- Aortic Root Pseudoaneurysm Erosion into Left AtriumIatrogenic
- d-Transposition of the Great Arteries with Pulmonic StenosisCongenital
- Right Ventricular Metastasis of Epithelioid SarcomaNeoplastic
- Infective Endocarditis with Patent Ductus ArteriosusInfection
- Aortoesophageal Fistula secondary to Mycotic Aortic AneurysmInfection
- Looped Axillary Intra-Aortic Balloon PumpIatrogenic
See all cases from January 21, 2022 →