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Case Reports
. 2010 Mar;24(3):173-4.
doi: 10.1155/2010/701071.

Bilateral Killian-Jamieson diverticula: a case report and literature review

René D Boisvert  1 , Drew C G Bethune, David Acton, Denis R Klassen
Affiliations
Case Reports

Bilateral Killian-Jamieson diverticula: a case report and literature review

René D Boisvert et al. Can J Gastroenterol. 2010 Mar.

Abstract
in English, French

A Killian-Jamieson diverticulum is an outpouching from the lateral wall of the proximal cervical esophagus. These diverticula are rare and are distinct from the more commonly known Zenker's diverticulum. Literature regarding Killian-Jamieson diverticula and its suggested management is scarce. The present report describes a patient with symptomatic bilateral Killian-Jamieson diverticula. The patient had both diverticula excised and an esophagomyotomy performed. Following surgery, the patient's symptoms resolved and he recovered well. A literature review and discussion of the etiology, clinical presentation and radiographic findings of Killian-Jamieson diverticulum follow, as do recommendations for clinical management.

Un diverticule de Killian-Jamieson est une ectasie sacculaire de la paroi latérale de l’œsophage cervical proximal. Ce diverticule est peu courant et distinct du diverticule de Zenker, mieux connu. Les publications au sujet de ce diverticule et de sa prise en charge sont rares. Le présent rapport décrit le cas d’un patient ayant un diverticule de Killian-Jamieson bilatéral symptomatique. Le patient a subi l’excision des deux diverticules et une œsophagomyotomie. Après l’opération, ses symptômes ont disparu, et le patient s’est bien rétabli. Une analyse bibliographique et un exposé de l’étiologie, de la présentation clinique et des observations radiographiques du diverticule de Killian-Jamieson suivent, de même que des recommandations de prise en charge clinique.

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Figures

Figure 1)
Figure 1)
Axial computed tomogram of the patient’s neck. Bilateral diverticula are shown lateral to the esophagus and below the cricoid cartilage. The right diverticulum measures 4.4 cm × 2.8 cm and the left measures 3.5 cm × 2.5 cm. Heterogeneous material is seen in both diverticula, consistent with food debris. No cervical adenopathy is present
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