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
  • View Affiliations

  • 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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October-2016
Volume 12 Issue 4

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Spandidos Publications style
Cao L, Ge J, Zhao D and Lei S: Killian‑Jamieson diverticulum mimicking a calcified thyroid nodule on ultrasonography: A case report and literature review. Oncol Lett 12: 2742-2745, 2016
APA
Cao, L., Ge, J., Zhao, D., & Lei, S. (2016). Killian‑Jamieson diverticulum mimicking a calcified thyroid nodule on ultrasonography: A case report and literature review. Oncology Letters, 12, 2742-2745. https://doi.org/10.3892/ol.2016.4984
MLA
Cao, L., Ge, J., Zhao, D., Lei, S."Killian‑Jamieson diverticulum mimicking a calcified thyroid nodule on ultrasonography: A case report and literature review". Oncology Letters 12.4 (2016): 2742-2745.
Chicago
Cao, L., Ge, J., Zhao, D., Lei, S."Killian‑Jamieson diverticulum mimicking a calcified thyroid nodule on ultrasonography: A case report and literature review". Oncology Letters 12, no. 4 (2016): 2742-2745. https://doi.org/10.3892/ol.2016.4984