Divertículo epifrénico

the epinephrine diverticulum due to the increase of intraesophageal pressure by underlying motor alterations is a rare entity; it accounts for around the 10% of all esophageal diverticula. this is the case of a female patient aged 65 admitted in the general surgery service presenting with obstructive jaundice by chronic pancreatitis. a triple catell's bypass was carried out and during the postoperative course had vomiting containing non-digested fetid foods, ingested many hours or days ago. barium radiography of esophagus, stomach and duodenum was obtained with a good contrast passage, verifying the presence of a very large epinephrine diverticulum causing the symptoms. she was operated on using as approach route a previous middle incision and trans-hiatal route. a vagotomy, diverticulectomy, extended esophageal myotomy, anti-reflux procedure and temporary jejunostomy for the early feeding. course was favorable and patient remains asymptomatic.