A Case of Killian-Jamieson Diverticulum in the Esophagus

건상검진상 발견된 Killian-Jamieson Diverticulum 1예

  • Seon, Sang Woo (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Jung, Jae hyun (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Lee, Eunsang (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Lee, Seung Won (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital)
  • 선상우 (순천향대학교 의과대학 이비인후-두경부외과학교실) ;
  • 정재현 (순천향대학교 의과대학 이비인후-두경부외과학교실) ;
  • 이은상 (순천향대학교 의과대학 이비인후-두경부외과학교실) ;
  • 이승원 (순천향대학교 의과대학 이비인후-두경부외과학교실)
  • Received : 2016.10.23
  • Accepted : 2016.11.10
  • Published : 2016.12.30

Abstract

A Killian-Jamieson diverticulum (KJD) is an unfamillar and unusual cervical esophageal diverticulum. This diverticulum originates on the anterolateral aspect of the esophagus through the Killian-Jamieson's area that is formed between cricopharyngeal muscle and the lateral to longitudinal esophageal muscle. Recently, we experienced a patient who was found outpouching lesion on lateral side of left esophagus on the duodenoscopy. Then, a barium esophagography performed and in left lateral position demonstrated a left-sided diverticulum with a frontal projection, highly suggestive of a KJD. There are two ways of surgical approach to manage the KJD. First is external approach, another one is endoscopic approach. In common, external approach has been recommended for the treatment of KJD because of concern of nerve injury. We present a case of KJD that underwent external approach and sternocleidomastoid muscle flap in the management of KJD.

Keywords

References

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