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Simultaneously occurring Zenker's diverticulum and Killian–Jamieson diverticulum: case report and literature review

Published online by Cambridge University Press:  19 June 2017

K E Stewart ,
D R K Smith  and
S L Woolley
K E Stewart*
Affiliation:
Department of Otolaryngology, Royal Glamorgan Hospital, Llantrisant, Wales, UK
D R K Smith*
Affiliation:
Department of Otolaryngology, Royal Glamorgan Hospital, Llantrisant, Wales, UK
S L Woolley
Affiliation:
Department of Otolaryngology, Royal Glamorgan Hospital, Llantrisant, Wales, UK
*
Address for correspondence: Secretary to Mr D Smith, FAO Ms Kirsten E Stewart, Department of Otolaryngology, Royal Glamorgan Hospital, Llantrisant CF72 8XR, Wales, UK E-mail: [email protected]
Address for correspondence: Secretary to Mr D Smith, FAO Ms Kirsten E Stewart, Department of Otolaryngology, Royal Glamorgan Hospital, Llantrisant CF72 8XR, Wales, UK E-mail: [email protected]
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Abstract

Background:

Pharyngoesophageal diverticula have many subtypes, with Zenker's diverticulum being the most common. First described in 1983, a Killian–Jamieson diverticulum is an outpouching in the anterolateral wall at the pharyngoesophageal junction. This is located inferiorly to the cricopharyngeus muscle, unlike Zenker's diverticula which occur superiorly. Killian–Jamieson diverticula are rare and are commonly misdiagnosed as Zenker's diverticula. Less than 30 reports of Killian–Jamieson diverticula have been described in the literature.

Case report:

A 69-year-old man presented with a 2-year symptomatic history, and was found to have simultaneous Zenker's diverticulum and Killian–Jamieson diverticulum. He was treated successfully with open surgical excision of both pouches.

Conclusion:

Zenker's diverticulum and Killian–Jamieson diverticulum are diagnosed using radiological studies and endoscopy. Their differentiation is important, as surgical management differs. This paper reviews the literature on Killian–Jamieson diverticula and the management options available.

Keywords

Pharyngeal DiseasesZenker DiverticulumDiverticulum, EsophagealPharyngeal Muscles
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 8 , August 2017 , pp. 661 - 666
Copyright
Copyright © JLO (1984) Limited 2017 

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References

1 Johnson, CM, Postma, GN. Not all pharyngeal pouches are created equal: management of “non-Zenker” hypopharyngeal diverticula. Oper Tech Otolaryngol Head Neck Surg 2016;27:80–5CrossRefGoogle Scholar
2 Watemberg, S, Laudau, O, Avrahami, R. Zenker's diverticulum: reappraisal. Am J Gastroenterol 1996;91:1494–8Google ScholarPubMed
3 Ekberg, O, Nylander, G. Lateral diverticula from the pharyngo-esophageal junction area. Radiology 1983;146:117–22CrossRefGoogle ScholarPubMed
4 Siow, SL, Mahendran, HA, Hardin, M. Transcervical diverticulectomy for Killian-Jamieson diverticulum. Asian J Surg 2015. Epub 2015 March 13Google ScholarPubMed
5 Boysen, M, Aasen, S, Lotveit, T, Bakka, A. Two simultaneously occurring hypopharyngo-oesophageal diverticula. J Laryngol Otol 1993;107:49–50 CrossRefGoogle ScholarPubMed
6 Huntley, C, Spiegel, J, Boon, M. Open approaches to cricopharyngeal hypertonicity and hypopharyngeal diverticulum. Oper Tech Otolaryngol Head Neck Surg 2016;27:74–9CrossRefGoogle Scholar
7 Bizzotto, A, Iacopini, F, Landi, R, Costamagna, G. Zenker's diverticulum: exploring treatment options. Acta Otorhinolaryngol Ital 2013;33:219–29Google ScholarPubMed
8 Ferreira, LE, Simmons, DT, Baron, TH. Zenker's diverticula: pathophysiology, clinical presentation, and flexible endoscopic management. Dis Esophagus 2008;21:1–8 CrossRefGoogle ScholarPubMed
9 Chea, CH, Siow, SL, Khor, TW, Nik Azim, NA. Killian-Jamieson diverticulum: the rarer cervical esophageal diverticulum. Med J Malaysia 2001;66:73–4Google Scholar
10 Rodgers, PJ, Armstrong, WB, Dana, E. Killian-Jamieson diverticulum: a case report and a review of the literature. Ann Otol Rhinol Laryngol 2000;109:1087–91CrossRefGoogle Scholar
11 Kumoi, K, Ohtsuki, N, Teramoto, Y. Pharyngo-esophageal diverticulum arising from Laimer's triangle. Eur Arch Otorhinolaryngol 2001;258:184–7CrossRefGoogle ScholarPubMed
12 Nguyen, D, Moslemi, M, Rawashdeh, B, Meyer, M, Garagozlo, C, Golestani, S et al. Laimer's diverticulum, a rare true diverticulum inferior to the cricopharyngeus: report of a case and review of the literature. J Clin Case Rep 2014;4:423 Google Scholar
13 Kobayashi, M, Ito, S, Sawada, T, Deguchi, M, Lin, S. A case of diverticulum originating from the Laimer's triangle. Geka Shinryou (Japan) 1993;35:889–92Google Scholar
14 Schunke, M, Schulte, E, Schumacher, U, Ross, L, Lamperti, E. Atlas of Anatomy: Neck and Internal Organs. Stuttgart: Thieme, 2005 Google Scholar
15 Goffart, Y, Lennelle, J, Morceau, P, Bovene, J. Traction diverticulum of the hypopharynx following anterior cervical spine surgery. Case report and review. Ann Otol Rhinol Laryngol 1991;100:852–5CrossRefGoogle ScholarPubMed
16 Allis, TJ, Grant, NN, Davidson, BJ. Hypopharyngeal diverticulum formation following anterior discectomy and fusion: case series. Ear Nose Throat J 2010;89:E4–9 CrossRefGoogle ScholarPubMed
17 Klockars, T, Sihvo, E, Maekitie, A. Familial Zenker's diverticulum. Acta Otolaryngol 2008;128:1034–6CrossRefGoogle ScholarPubMed
18 Siddiq, MA, Sood, S, Strachen, D. Pharyngeal pouch (Zenker's diverticulum). Postgrad Med J 2001;77:506–11CrossRefGoogle ScholarPubMed
19 van Overbeek, JJ. Pathogenesis and methods of treatment of Zenker's diverticulum. Ann Otol Rhinol Laryngol 2003;112:583–93CrossRefGoogle ScholarPubMed
20 Bradley, PJ, Kochaar, A, Quraishi, MS. Pharyngeal pouch carcinoma: real or imaginary risks? Ann Otol Rhinol Laryngol 1999;108:1027–32CrossRefGoogle ScholarPubMed
21 Rubesin, SE, Levine, MS. Killian-Jamieson diverticula: radiographic findings in 16 patients. AJR Am J Roentgenol 2001;177:85–9CrossRefGoogle ScholarPubMed
22 Nutter, KM, Ball, OG. Esophageal diverticula: current classification and important complications. J Miss State Med Assoc 2004;45:131–5Google ScholarPubMed
23 Kitazawa, M, Koide, N, Saito, H, Kamimura, S, Uehara, T, Miyagawa, S. Killian-Jamieson diverticulitis with cervical cellulitis: report of a case. Surg Today 2010;40:257–61CrossRefGoogle ScholarPubMed
24 Braghetto, I, Cardemil, G, Schwartz, E, Valladares, H, Rencoret, G, Estay, R et al. Videothoracoscopic management of middle esophageal diverticulum with secondary bronchoesophageal fistula: report of a case. Surg Today 2008;38:1124–8CrossRefGoogle ScholarPubMed
25 Ballehaninna, UK, Shaw, JP, Brichkov, I. Traction esophageal diverticulum: a rare cause of gastro-intestinal bleeding. SpringerPlus 2012;1:50 CrossRefGoogle ScholarPubMed
26 Kim, DC, Hwang, JJ, Lee, WS, Lee, SA, Kim, YH, Chee, HK. Surgical treatment of Killian-Jamieson diverticulum. Korean J Thorac Cardiovasc Surg 2012;45:272–4CrossRefGoogle ScholarPubMed
27 Boisvert, RD, Bethune, DC, Acton, D, Klassen, DR. Bilateral Killian-Jamieson diverticula: a case report and literature review. Can J Gastroenterol 2010;24:173–4CrossRefGoogle ScholarPubMed
28 Kim, HK, Lee, JI, Jang, HW, Bae, SY, Lee, JH, Kim, YS et al. Characteristics of Killian-Jamieson diverticula mimicking a thyroid nodule. Head Neck 2012;34:599–603 CrossRefGoogle ScholarPubMed
29 Verdonck, J, Morton, RP. Systematic review on treatment of Zenker's diverticulum. Eur Arch Otorhinolaryngol 2015;272:3095–107CrossRefGoogle ScholarPubMed
30 Mulder, CJ, den Hartog, G, Robijn, RJ, Thies, JE. Flexible endoscopic treatment of Zenker's diverticulum: a new approach. Endoscopy 1995;27:438–42CrossRefGoogle ScholarPubMed
31 Case, DJ, Baron, TH. Flexible endoscopic management of Zenker diverticulum: the Mayo Clinic experience. Mayo Clin Proc 2010;85:719–22CrossRefGoogle ScholarPubMed
32 Lee, CK, Chung, IK, Park, JY, Lee, TH, Lee, SH, Park, SH et al. Endoscopic diverticulotomy with an isolated-tip needle-knife papillotome (Iso-Tome) and a fitted overtube for the treatment of a Killian-Jamieson diverticulum. World J Gastroenterol 2008;14:6589–92CrossRefGoogle Scholar
33 Tang, SJ, Tang, L, Chen, E, Myers, LL. Flexible endoscopic Killian-Jamieson diverticulotomy and literature review (with video). Gastrointest Endosc 2008;68:790–3CrossRefGoogle ScholarPubMed
34 Chang, YC, Chi, CY, Lee, CJ. Rigid endoscopic LASER diverticulotomy for lateral pharyngoesophageal diverticuli: cases presentation and discussion. Eur Arch Otorhinolaryngol 2016;273:4637–42CrossRefGoogle Scholar
35 Beriat, GK, Akmansu, SH, Ezerarslan, H, Dogan, C, Han, U, Saglam, M et al. The comparison of thermal tissue injuries caused by ultrasonic scalpel and electrocautery use in rabbit tongue tissue. Bosn J Basic Med Sci 2012;12:151–7CrossRefGoogle ScholarPubMed
36 Xu, D, Pollock, M. Experimental nerve thermal injury. Brain 1984;117:375–84CrossRefGoogle Scholar
37 Undavia, S, Anand, SM, Jacobson, AS. Killian-Jamieson diverticulum: a case for open transcervical excision. Laryngoscope 2013;123:414–17CrossRefGoogle ScholarPubMed