Journal Search Engine
Search Advanced Search Adode Reader(link)
Download PDF Export Citaion korean bibliography PMC previewer
ISSN : 1225-0082(Print)
ISSN : 2288-1905(Online)
The Medical Journal of Chosun University Vol.38 No.2 pp.67-71
DOI :

Clinical and Ultrasonographic Characteristics of Esophageal Diverticula Mimicking a Thyroid Nodule

Tae Hyun Kim*, Dong Cheol Lee, Hyun Wook Kim, Su Kyung Jo, Seung Won Jung, Sung Ji Lee, Soon Ho Kim, Joon Kyu Lim
Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea
(Received March 13, 2013; Accepted June 25, 2013)

Abstract

Recently, detection of esophageal diverticula by neck ultrasonography has been increasing. In particular, esophageal diverticulanear the thyroid gland can be diagnosed as thyroid nodule on ultrasonography. To date, 13 cases of ultrasonographicfeatures of Killian-Jamieson (K-J) diverticula have been reported. We report on four cases of K-J diverticula and discussclinical characteristics, including ultrasonographic findings, in comparison with previously reported cases. Awareness ofultrasonographic finding of esophageal diverticula, a hypoechoic nodule containing echogenic foci found in the posterolateralaspect of the thyroid, is most important for making a differential diagnosis of K-J diverticulum from a thyroid nodule.

Reference

1.Ekberg O, Nylander G. Lateral diverticula from the pharyngo- esophageal junction area. Radiology 1983; 146: 117-22.
2.Tang SJ, Tang L, Chen E, Myers L. Flexible endoscopic Killian-Jamieson diverticulotomy and literature review (with video). Gastrointest Endosc 2008; 68: 790.
3.Rubesin SE, Levin Ms. Killian Jamieson. Diverticula: radiographic findings in 16 patients. AJR Am J Roentgenol 2001; 177: 85.
4.Rodgers PJ, Armstrong WB, Dana E. Killian Jamieson diverticulum: a case report and a review of the literature. Ann Otol Rhinol Laryngol 2000; 109: 1087.
5.Pang JC, Chong S, Na HI, Kim YS, Park SJ, Kwon GY. Killian-Jamieson diverticulum mimicking a suspicious thyroid nodule: Sonographic diagnosis. J Clin Ultrasound 2009; 37: 528-30.
6.Mercer D, Blachar A, Khafif A, Weiss J, Kessler A. Real time sonography of Killian-Jamieson diverticulum and its differentiation from thyroid nodules. J Ultrasound Med 2005; 24: 557-60.
7.Kim ES, Lee K, Yoon HS, Jeon EY, Hwang HS, Koh SH, Kim MJ, Jang KM, Lee MJ, Lee Y. Killian-Jamieson diverticulum mimicking a thyroid nodule on ultrasonography: a case report. J Korean Soc Med Ultrasound 2007; 26: 41-4.
8.Kim KH, Son EJ, Kim E, Kwak JY, Oh KK. Pharyngoesophageal (Killian-Jamieson) diverticulum mimicking thyroid nodule on ultrasonography: a case report, J Korean Radiol Soc 2006; 55: 447-9.
9.Kim SJ, Lee MW. Killian-Jamieson diverticula mimicking thyroid nodule on ultrasound: radiographic findings in two patients. J Korean radiol soc 2006; 55: 443-6.
10.Yoon HD, Shon HS. Killian-Jamieson diverticulum mimicking a thyroid nodule. Korean J Med 2005; 68: 467-8.
11.Park CS, Lee JW, Oh SJ, Han JH, Kim KJ, Sohn KM, Jung HS, Lee HJ. Killian-Jamieson diverticula mimicking a right thyroid nodule on ultrasonography: a case report. J Korean Soc Ultrasound Med 2008; 27: 103-7.
12.Rekhtman MRelchtman K, Sheth S, Ali SZ. A 62- year0old woman with a suspected thyroid nodule. Arch Pathol Lab Med 2005; 129: 1497-8.
13.Kim HK, Lee JI, Jang HW, Bae SY, Lee JH, Kim YS, Shin JH, Kim SW, Chung JH. Characteristics of Killian- Jamieson diverticula mimicking a thyroid nodule. Head & Neck 2012; 34: 599-603.
14.Konatsa M, Konatsa T, Inove K. Ultrasonography of Zenker's diverticulum; special reference to differential diagnosis from thyroid nodules. Eur J Ultrasound 2000; 11: 123-5.
15.Kumar A. Aggarwai S. Pham DH. Pharyngoesophageal (Zenker's) diverticulum mimicking thyroid nodule on ultrasonography: report of two cases. J Ultrasound Med 1994; 13: 319-22.
16.DeFriend DE, Dubbins PA. Sonographic demonstration of a pharyngoesophageal diverticulum. J clin ultrasound 2000; 28: 485-7.
17.Hayashi H, Tamaki H, Konoshi J. Lateral pharyngoesophageal diverticulum simulating thyroid adenoma on sonography. J Clin Ultrasound 1984; 12: 592-4.
18.Biggi E, Derchi LE, Cicio GR, Meumaier CE. Sonographic findings of Zenker's diverticulum. J Clin Ultrasound 1982; 10: 395-6.