Killian-Jamieson diverticulitis with cervical cellulitis: Report of a case

Abstract

A Killian-Jamieson (K-J) diverticulum is an uncommon hypopharyngeal diverticulum related to the betterrecognized Zenker's diverticulum. Cervical cellulitis due to K-J diverticulitis is also highly exceptional. We report the case of a 53-year-old woman with cervical cellulitis caused by K-J diverticulitis. The cellulitis was cured by the administration of an antibiotic agent. The patient underwent a resection of the K-J diverticulum 2 months after the cellulitis was cured. The cervical diverticulum was judged to be a K-J diverticulum because the diverticulum prolapsed laterally just below the cricopharyngeus muscle on the esophagogram. The left recurrent laryngeal nerve adhered to the proximity of the orifi ce of the diverticulum. The recurrent laryngeal nerve was carefully preserved before the resection of the diverticulum. Accurate differential diagnosis between K-J and Zenker's diverticula is necessary before surgery to preserve the recurrent laryngeal nerve.

Killian‐Jamieson diverticulum

“…Our case, along with others,5, 15–17 highlights the relationship of the RLN to KJD. Because the pouch originates in close proximity to the insertion of the nerve into the cricothyroid joint, it can easily be found running over the base of the pouch.…”

“…Kitazawa et al presented a case of cellulitis secondary to KJD. 15 At the time of surgical intervention, the RLN was also noted to be adherent to the base of the diverticulum. Chea et al reported on a single patient with KJD who was successfully treated via a transcervical approach with identification and preservation of the RLN.…”

Surgical treatment of Killian‐Jamieson diverticulum: A case report and literature review

“…These motility abnormalities could also represent an etiopathogenic underlying phenomenon of the diverticula. Other presentation pictures of KJD include confounding findings with a thyroid nodule or mass on imaging studies and, rarely, cervical celullitis …”

Killian-Jamieson Diverticula Presenting Synchronously with Thyroid Adenoma

“…In contrast, Killian-Jamieson diverticula originate from the lateral wall of the pharyngoesophageal junction below the cricopharyngeal bar and extend laterally. Therefore, it is thought that the identification of the cricopharyngeal bar is a key to the differential diagnosis of these two types of diverticula [8]. However, when the diverticula are large and barium contrast impossibly retained, pharyngoesophagography does not often detect the cricopharyngeal bar [9], and so it can be difficult to distinguish between a Zenker's diverticulum and a Killian-Jamieson diverticulum.…”