Abstract

Killian-Jamieson diverticulum is a rare type of pharyngoesophageal diverticula. We present a case of Killian-Jamieson diverticulum that mimicked a thyroid nodule under ultrasonography. Fine-needle aspiration was applied to identify the content of the thyroid nodule. However, nothing else but only a few squamous cells, amorphous material, and some inflammatory cells were reported under the microscope. The Killian-Jamieson diverticulum was confirmed during the surgery. There was no complication after the operation at the follow-up visit one month later. Retrospect this case, we find that thyroid ultrasonography combined fine-needle aspiration is a recommended way to increase the sensitivity of detecting hypopharyngeal diverticulum.

Highlights

  • Thyroid diseases are common endocrine disease in clinics

  • We present a case of Killian-Jamieson diverticulum that mimicked a thyroid nodule under ultrasonography

  • There was no complication after the operation at the follow-up visit one month later. Retrospect this case, we find that thyroid ultrasonography combined fine-needle aspiration is a recommended way to increase the sensitivity of detecting hypopharyngeal diverticulum

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Summary

Introduction

Thyroid diseases are common endocrine disease in clinics. Symptoms from other neck neoplasms maybe similar to ones from thyroid disease, which cause misdiagnosis [1]. Killian-Jamieson diverticulum is a rare type of pharyngoesophageal diverticula, which can be misdiagnosed as thyroid nodules with ultrasonography [2]. Radiographic presentation of the co-existence of Killian-Jamieson diverticulum and a thyroid tumor has not been previously described. We reported the rare case of 45-year-old patient with a symptomatic left Killian-Jamieson diverticulum with thyroid nodule goiter

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