To the Editor.—
Medical literature is replete with information on esophageal diverticula. Pulsion diverticula of the upper (Zenker's) and lower (epiphrenic) esophagus as well as traction diverticula near the carina are reported in abundance. However, a lateral pulsion diverticulum of the cervical esophagus has not, to my knowledge, previously been described.
Report of a Case.—
A 79-year-old woman complained of constant expectoration of foamy sputum, postprandial vomiting of bitter material, and a constant bad taste in her mouth. All complaints were of indeterminate duration.Further history and physical findings disclosed hearing loss, hemorrhoids, and osteoarthritis. Laboratory data were non-contributory. An esophagram (Figure) shows a 1.5×1.5-cm diverticulum extending from the right side of the esophagus at the level of C6-C7. A filling defect is seen within the diverticulum. The patient underwent a diverticulectomy.The surgical specimen was 2.5 cm in length, with the dilated portion measuring 1.2 cm in diameter. It