Operative management of pulmonary abscess due to spontaneous perforation of diffuse intramural esophageal pseudodiverticulosis.

Diffuse intramural esophageal pseudodiverticulosis is a rare, benign esophageal condition of unclear cause, pathologically manifested by pseudodiverticula along a portion of the esophagus. It most commonly presents as dysphagia and is usually amenable to endoscopic dilation. It is most reliably diagnosed endoscopically or with a fluoroscopic swallow study. Surgical intervention is rarely indicated but can create a need for an extensive resection and reconstruction, as in the case presented here.