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Incidentally Found Killian-Jamieson Diverticulum During Thyroidectomy: A Case Report.
Levent Yücel1, Nurlan Isayev2, Süha Beton2
1Department of Otorhinolaryngology, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey.
Ear, Nose, & Throat Journal
|February 3, 2021
Summary
This case study highlights the rare discovery and successful surgical management of a Killian-Jamieson diverticulum (KJD) incidentally found during thyroid cancer surgery. Prompt recognition and intervention ensured no postoperative complications, emphasizing thorough patient evaluation for aerodigestive symptoms.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Gastroenterology
Background:
- Thyroid nodules can present with nonspecific symptoms like sore throat.
- Killian-Jamieson diverticula (KJD) are rare outpouchings in the pharyngoesophageal region.
- Preoperative imaging may not always detect coincident KJD.
Observation:
- A 57-year-old woman with a malignant thyroid nodule and sore throat underwent neck dissection.
- A 3x3 cm Killian-Jamieson diverticulum was unexpectedly identified during surgery.
- The KJD was successfully resected while preserving the recurrent laryngeal nerve.
Findings:
- Postoperative recovery was uneventful, with no vocal cord palsy, hypocalcemia, or pharyngoesophageal leak.
- The patient reported a history of occasional dysphagia, previously uninvestigated.
- An 8-year follow-up showed no recurrence of either the papillary carcinoma or the KJD.
Implications:
- Nonspecific symptoms like sore throat warrant comprehensive investigation, including questioning for aerodigestive issues.
- Surgical planning for thyroid procedures should consider the potential for incidental findings of rare conditions like KJD.
- Early detection and management of KJD, even when incidental, are crucial for favorable patient outcomes.
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