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Esophageal diverticula are rare with a reported prevalence of 0,06-4% (Hoghooghi et al., 2006, Watanabe et al., 1996). As symptoms are often unspecific and size usually progresses slowly over time, years can pass before diagnosis. Epiphrenic esophageal diverticula are located in the lower third of the esophagus and may be complicated by esophagitis, bleeding, malignancy and very seldom perforation.

Large Epiphrenic Diverticulum with Perforation and Leakage below the Diaphragm: A Case Report