Traction diverticula

traction diverticulum esophagus

Q) What is true about traction diverticula of the esophagus?

a) It is a common diverticulum at the lower end of esophagus

b)Most  of these diverticula are symptomatic and require surgery

c) Mediastinal fibrosis is a common etiologial factor

d) They are most common on the left side

 

Answer 

c) Mediastinal fibrosis

Most of the traction diverticula are in mid esophagus on the right side. The common etiological factors are mediastinal infections, tuberculosis, mediastinal fibrosis and histoplasmosis.

These are true traction diverticula and have all the walls of esophagus.

They are mostly discovered incidentally during the workup of other diseases. Most of these are asymptomatic but can present with dysphagia, chest pain and regurgitation.