Killian‑Jamieson diverticulum mimicking a calcified thyroid nodule on ultrasonography: A case report and literature review

Cao,Li; Ge,Junna; Zhao,Donghui; Lei,Shangtong

doi:10.3892/ol.2016.4984

Killian‑Jamieson diverticulum mimicking a calcified thyroid nodule on ultrasonography: A case report and literature review

Authors:
- Li Cao
- Junna Ge
- Donghui Zhao
- Shangtong Lei
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Affiliations: Department of Breast Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, P.R. China, Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, P.R. China
Published online on: August 10, 2016 https://doi.org/10.3892/ol.2016.4984
Pages: 2742-2745

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Abstract

As a rare hypopharyngeal diverticulum, Killian-Jamieson diverticulum (KJD) is usually incidentally detected, small, asymptomatic and likely to be misdiagnosed as a thyroid nodule. In order to avoid unnecessary treatments resulting from misdiagnosis, principles to distinguish between esophageal diverticula and thyroid nodules should be noted clearly. The current study presents a case of an asymptomatic unilateral KJD that mimicked a calcified thyroid nodule. In the current case, a 40-year-old man presented with a ‘suspected malignant thyroid nodule’ in the left thyroid gland, and underwent left thyroid lobectomy and a neck exploration. However, no visible ‘suspected tumor’, but a sac protruding from the left anterolateral wall of the cervical esophagus, was observed during the surgery. A swallow test on ultrasonography (US) in combination with pharyngoesophagography was then performed, which confirmed the diagnosis. The patient recovered well during the 3‑month follow-up after the operation. The present study indicates that real‑time US and pharyngoesophagography are important techniques to distinguish a KJD from a thyroid nodule so that unnecessary surgical intervention can be avoided.

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