Pulsion Diverticulum

Pulsion Diverticulum
Michael P. Federle, MD, FACR
Key Facts
Terminology
  • Esophageal saccular protrusion or outpouching; pseudodiverticulum (only mucosal layer)
Imaging
  • Mid-esophageal pulsion diverticula
    • Barium-filled outpouchings from esophagus
    • Usually smooth, rounded contour and wide neck
    • Diverticula tend to remain filled after most of barium is emptied (due to lack of muscle in wall)
    • Single or multiple; of varied sizes
    • Most patients have evidence of diffuse esophageal spasm or significant dysmotility
  • Distal esophageal (epiphrenic) pulsion diverticula
    • Large barium-filled sac in epiphrenic area
Top Differential Diagnoses
  • Traction diverticulum
  • Hiatal hernia
  • Esophageal perforation
Clinical Issues
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Jun 8, 2016 | Posted by in GENERAL RADIOLOGY | Comments Off on Pulsion Diverticulum

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