Real-time sonography of Killian-Jamieson diverticulum and its differentiation from thyroid nodules.
نویسندگان
چکیده
illian-Jamieson and Zenker diverticula are both rare pharyngoesophageal diverticula. Both are outpouching of the mucosal and submucosal layers of the esophageal wall, which protrude through a muscular gap at the level of the pharyngoesophageal esophagus. When these diverticula are large enough, they can be in proximity to the thyroid gland and may mimic a thyroid nodule.1,2 Thyroid nodules, although shown well by high-resolution sonography, cannot be finally diagnosed by imaging modalities; therefore, most of them are further investigated with fine-needle aspiration (FNA). To our knowledge, 7 previous case reports of Zenker diverticulum diagnosed by sonography are reported in the literature.3–6 There is no report regarding the sonographic diagnosis of Killian-Jamieson diverticulum. Both can be mistaken for a thyroid nodule. Our purpose is to focus radiologists’ attention on the possibility of a pseudo thyroid lesion originating in the esophagus and to describe the sonographic findings and advantages of real-time sonography in examining the thyroid to reach the correct diagnosis and avoid unnecessary invasive and possible dangerous procedures.
منابع مشابه
Killian-Jamieson Diverticulum Mimicking a Thyroid Tumor
We herein report a case of Killian-Jamieson diverticulum mimicking a thyroid tumor. Killian-Jamieson diverticulum is a rare form of hypopharyngeal pulsion diverticulum resulting from herniation of mucosa and submucosa through an area of weakened musculture [1]. The diverticulum is caudal to that of the more common Zenker’s diverticulum [2]. These hypopharyngeal diverticula that cause dysphagia ...
متن کاملKillian-Jamieson Diverticula Presenting Synchronously with Thyroid Adenoma
Killian-Jamieson diverticulum is a rare hypopharyngeal diverticulum, less commonly encountered compared with Zenker's diverticulum. These hypopharyngeal diverticula that cause dysphagia often mimic a thyroid tumor incidentally detected on neck ultrasonography. However, to our knowledge, Killian-Jamieson diverticula complicated by a thyroid tumor have not been previously described. We experience...
متن کاملCoincidental Killian-Jamieson Diverticulum During Thyroid Surgery: A Rare Cause of Dysphagia.
The aim of this case report is to demonstrate a very rare coincidental existence and management of the Killian-Jamieson diverticulum during thyroid surgery in a patient with dysphagia. An 18-year-old female patient with the complaints of progressive dysphagia and a rapidly growing mass at the anterior cervical region was undergone thyroid lobectomy. Coincidentally, a 2×2 cm Killian-Jamieson div...
متن کاملSurgical Treatment of Killian-Jamieson Diverticulum
Killian-Jamieson diverticulum is a rare diverticular disease. This disease differs from Zenker's diverticulum in its location and mechanism. Various treatment modality have been attempted, but traditional surgical treatment has been recommended for a symptomatic Killian-Jamieson diverticulum due to the concern of possible nerve injury. We performed surgical treatment by cervical incision. We re...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
دوره 24 4 شماره
صفحات -
تاریخ انتشار 2005