Upper Gastrointestinal Bleed from Esophageal Diverticula in a Patient with Dermatomyositis

Dermatomyositis Accompanied by Bleeding Esophageal Diverticula or Intramural Pseudodiverticulosis?

“…Although they could not diagnose the diverticula as EIPD because of large diverticula size (5-15 mm) [1], two cases of multiple large pseudodiverticula (up to 15 mm) were reported [7].…”

“…Ó Springer Science+Business Media, LLC 2007 To the Editor : We read with interest the article by Al-Hassad and Raimondo [1] on a case of dermatomyositis with bleeding diverticula involving most parts of the esophagus. After suctioning fresh blood in the esophageal lumen, endoscopy disclosed multiple large esophageal diverticula and erosive esophagitis.…”

“…The abnormalities may raise the esophageal intramural pressure in the inflamed esophagus, resulting in dilatation of submucosal glands. Their patient had chronic inflammation of erosive esophagitis, and suffered from dermatomyositis [1], which is commonly associated with esophageal motor dysfunction [8]. They also described that a strong association with abnormal esophageal motility has been observed in EIPD [1].…”

“…At endoscopy, the diagnosis can only be established in 20% of cases because multiple small openings of pseudodiverticula are not clearly visible [2,3,[5][6][7]10], but EIPD can be more-easily diagnosed by contrast radiography [2,6]. Unfortunately, they only performed endoscopy, but not barium study [1].…”