A case of Killian-Jamieson Diverticulum Accompanied by a Thyroid Nodule

Abstract

Killian-Jamieson diverticulum (KJD) is a rare type of pharyngoesophageal diverticulum and was first described in 1985. It is usually encountered in adults. KJD arises just below the cricothyroid muscle and extends in the anterolateral direction. As compared to Zenker's diverticulum, KJD is less common in 1/4 ratio. 1 Although it is formed unilateral in general, sometimes occur bilaterally. 2 Zenker's diverticulum has been reported in literature. 3 The most frequent symptoms are dysphagia and globus.In addition, cough, chest pain and regurgitation can be seen. It is often misdiagnosed with thyroid nodules. 4 In the differential diagnosis; ultrasonography (USG), barium esophagography, computed tomography (CT) and flexible endoscopy are important.Diverticulotomy with transcervical approach is the most commonly used treatment method. In addition, myotomy, endoscopic diverticulotomy and diverticulopexy treatment managements are performed. The most important complications faced following the surgery are relapse and suture leakage.Divertuculotomy was performed while preserving NLI. Nasogastric tube (NGT) was not ap-