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Case Reports
. 2016 Apr 21;19(4):295-298.
doi: 10.1007/s40477-016-0208-3. eCollection 2016 Dec.

Killian-Jamieson diverticulum: real-time sonographic findings

Giovanni Bonacchi  1 , Marta Seghieri  2 , Marco Becciolini  1
Affiliations
Case Reports

Killian-Jamieson diverticulum: real-time sonographic findings

Giovanni Bonacchi et al. J Ultrasound. .

Abstract
in English, Italian

Killian-Jamieson diverticulum (KJD) is a pharyngoesophageal diverticulum that can be observed during a neck ultrasound examination. Because of its position, it is frequently misinterpreted as a thyroid nodule. We present a case of an incidental finding of KJD, where changes in shape during dynamic scanning led to the correct diagnosis, preventing from invasive procedures such as fine needle aspiration.

Il diverticolo di Killian–Jamieson (KJD) è un diverticolo faringoesofageo che può essere individuato durante una valutazione ultrasonografica del collo. A causa della sua posizione, è frequentemente interpretato come un nodulo tiroideo. Presentiamo un caso di un riscontro occasionale di KJD, in cui le variazioni della forma durante le scansioni dinamiche hanno condotto ad una corretta diagnosi, evitando procedure invasive quali il prelievo con agoaspirato.

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Conflict of interest statement

The authors have no conflict of interest. Informed consent All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. All patients provided written informed consent for enrolment in the study and for the inclusion in this article of information that could potentially lead to their identification. Human and animal studies The study was conducted in accordance with all institutional and national guidelines for the care and use of laboratory animals.

Figures

Fig. 1
Fig. 1
US scan of the left lobe of the thyroid, axial and longitudinal. Size of the diverticulum mimicking thyroid nodule
Fig. 2
Fig. 2
US scan of the left lobe of the thyroid (longitudinal oblique scan; the caudal part is on the right of the image). A connection with the esophagus can be clearly depicted (green arrows), as well as a cleavage plane from the thyroid (blue arrows)
Fig. 3
Fig. 3
Dynamic scanning, during swallowing. Frames captured in succession. The diverticulum changes in shape, size and internal echostructure
See this image and copyright information in PMC

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