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Bilateral Killian-Jamieson diverticula incidentally found on thyroid ultrasonography

Authors
 Myung Hyun Kim  ;  Eun-Kyung Kim  ;  Jin Young Kwak  ;  Min Jung Kim  ;  Hee Jung Moon 
Citation
 THYROID, Vol.20(9) : 1041-1042, 2010 
Journal Title
THYROID
ISSN
 1050-7256 
Issue Date
2010
MeSH
Aged ; Diagnosis, Differential ; Diverticulum, Esophageal/diagnosis ; Diverticulum, Esophageal/diagnostic imaging* ; Esophagus/diagnostic imaging ; Humans ; Male ; Pharynx/diagnostic imaging ; Radiography ; Thyroid Gland/diagnostic imaging* ; Thyroid Nodule/diagnostic imaging* ; Ultrasonography
Abstract
BACKGROUND: Killian-Jamieson diverticulum (KJD) is a rare esophageal diverticulum that protrudes through the muscular gap in the anterolateral wall of the proximal cervical esophagus inferior to the cricopharyngeus. Although several patients with bilateral KJD have been reported, high-resolution ultrasound (US) image of bilateral KJD has never been reported.

SUMMARY: A 71-year-old man visited our hospital for annual follow-up of known thyroid nodules. In addition to the previously noted thyroid nodules, two arc-shaped hyperechoic lesions with reverberation artifacts, which suggested air-containing lesions, were unexpectedly seen posterior to bilateral thyroid lobes. Although the connection between the esophagus and the lesions was not definitely visible on US, our first differential diagnosis was esophageal diverticula. They were confirmed to be bilateral KJD on the following pharyngoesophagography.

CONCLUSIONS: If US features are not enough to differentiate esophageal diverticulum from suspicious thyroid nodule, pharyngoesophagography can be performed instead of invasive fine-needle aspiration to obtain a definite diagnosis of incidentally detected esophageal diverticulum.
Full Text
http://online.liebertpub.com/doi/abs/10.1089/thy.2010.0038
DOI
10.1089/thy.2010.0038
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kwak, Jin Young(곽진영) ORCID logo https://orcid.org/0000-0002-6212-1495
Kim, Min Jung(김민정) ORCID logo https://orcid.org/0000-0003-4949-1237
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
Moon, Hee Jung(문희정) ORCID logo https://orcid.org/0000-0002-5643-5885
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101612
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