Coincidental Killian-Jamieson Diverticulum During Thyroid Surgery: A Rare Cause of Dysphagia

Saylam, Güleser; Keseroğlu, Kemal; Bayır, Ömer; Tatar, Emel Çadallı; Korkmaz, Mehmet

doi:10.5152/tao.2016.1807

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…Such symptoms may be considered to have occurred as a result of a multinodular goiter, as reported previously. 8 If there is clinical doubt, barium esophagography, the gold standard for the diagnosis of diverticulum, should be performed.…”

Section: Discussionmentioning

confidence: 99%

Incidentally Found Killian-Jamieson Diverticulum During Thyroidectomy: A Case Report

et al. 2021

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The aim of this case study is to demonstrate the very rare coincidental existence and management of a Killian-Jamieson diverticulum (KJD) during thyroid surgery. A 57-year-old woman was referred to our clinic with a malignant thyroid nodule and the complaint of a sore throat. There were no suspicions concerning a diverticulum on examining her with flexible laryngoscopy or ultrasound imaging. During the right central neck dissection, we noticed a 3 × 3 cm KJD and resected it while preserving the recurrent laryngeal nerve. After the successful operation, we questioned the patient and learned that for 1 year she had an occasional complaint of dysphagia. Postoperatively, there was no vocal cord palsy or hypocalcemia, and there was no pharyngoesophageal leak after oral alimentation. There was no recurrence or complaint for KJD or papillary carcinoma for 8 years follow-up. Nonspecific symptoms like a sore throat should be investigated, and patients should be questioned for all aerodigestive symptoms. If necessary, further investigation should be undertaken for a differential diagnosis.

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Section: Discussionmentioning

confidence: 99%

Incidentally Found Killian-Jamieson Diverticulum During Thyroidectomy: A Case Report

et al. 2021

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“…In the literature, KJD cases with thyroid nodules have been reported in this way. 4,6 Swallowing test was recommended in cases with suspected KJD during USG. 7 We did not perform a swallowing test since we could not realize that there was a case of KJD in our patient accompanying the thyroid nodule detected during USG.…”

Section: Discussionmentioning

confidence: 99%

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

Boz¹,

Acar²

2021

Turkiye Klinikleri J Case Rep

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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-

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“…Therefore, it is necessary to know the ultrasonographic feature of KJD such as the hypoechoic rim, echogenic foci and change in internal echo during swallowing [4,5]. Nineteen reports (21 cases) mentioned the treatment for KJD (Table 1) [2,[6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22]. The most common treatment was diverticulectomy (67%), followed by endoscopic diverticulotomy (28%) and diverticulopexy (5%).…”

Section: Discussionmentioning

confidence: 99%

Surgery for Killian-Jamieson diverticulum: a report of two cases

et al. 2020

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Background Killian-Jamieson diverticulum (KJD) is a rare diverticulum arising from a muscular gap in the anterolateral wall of the proximal cervical esophagus. The first choice of treatment for KJD remains controversial due to its rare incidence. Here, we report two cases of KJD for which we performed different surgery: diverticulectomy in one case and diverticulopexy in the other. Case presentation Case 1 involved a 58-year-old woman presenting progressive pharyngeal discomfort for the past year. She was diagnosed as KJD using endoscopic and radiographic findings. She underwent diverticulectomy with cricopharyngeal and proximal esophageal myotomy. Staple line leakage developed at 1 month after surgery and was successfully treated conservatively. At 5 months after surgery, she was asymptomatic. Case 2 involved a 77-year-old woman presenting dysphagia for the past 2 years. She had a history of bilateral breast cancer and had hypertension, asthma, and osteoporosis. Taking her age and medical history into account, we selected diverticulopexy with cricopharyngeal and proximal esophageal myotomy. The postoperative course was uneventful. At 2 years after surgery, she remained free of dysphagia. Conclusion The first choice of surgery for KJD is diverticulectomy. In a high-risk patient, diverticulopexy is a reasonable treatment. We recommend the addition of myotomy as a part of any surgical treatment.

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Coincidental Killian-Jamieson Diverticulum During Thyroid Surgery: A Rare Cause of Dysphagia

Cited by 5 publications

References 10 publications

Incidentally Found Killian-Jamieson Diverticulum During Thyroidectomy: A Case Report

Incidentally Found Killian-Jamieson Diverticulum During Thyroidectomy: A Case Report

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

Surgery for Killian-Jamieson diverticulum: a report of two cases

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