Mediastinal tuberculosis presenting as traction diverticulum of the esophagus

Abstract

A 7-year-old male presented with history of low-grade fever, epigastric pain and dysphagia. Ultrasound of abdomen and thorax revealed presence of paraesophageal lymphadenopathy. ′Barium swallow′ and computerized tomography scan thorax with oral contrast suggested a provisional diagnosis of paraesophageal diverticulum. Esophagoscopy was normal. Endoscopic ultrasonography with biopsy confirmed tuberculosis. The patient was started on four-drug antitubercular treatment.

Keywords

• Mediastinal tuberculous lymphadenopathy traction diverticulum