Laparoscopic Treatment of a Huge Epiphrenic Esophageal Diverticulum: A Case Report and Literature Review.

AIM: Epiphrenic diverticulum (ED) is a rare benign esophageal disorder commonly associated with esophageal motility conditions, such as achalasia. Esophagogastroduodenoscopy (EGDS), barium esophagography, and esophageal high-resolution manometry (HRM) are essential for accurate diagnosis. Surgical intervention is the standard treatment for symptomatic patients.

CASE PRESENTATION: We present the case of a 61-year-old man with a large epiphrenic diverticulum presenting with dysphagia and chest pain. Medical therapy was ineffective; therefore, the patient underwent laparoscopic diverticulectomy, hiatoplasty, Heller myotomy, and Dor fundoplication.

RESULTS

Complete resolution of symptoms was achieved, significantly improving the patient's quality of life, with no perioperative complications.

CONCLUSIONS

The diagnosis and management of epiphrenic diverticula require a multidisciplinary approach. Abdominal laparoscopic surgery is a safe and effective option, with a low risk of complications and good symptom resolution.