Killian-Jamieson Diverticula Mimicking a Right Thyroid Nodule on Ultrasonography: A Case Report.

Park,  Chang Suk; Lee,  Jung Whee; Oh,  Se Jeong; Han,  Je Ho; Kim,  Ki jun; Sohn,  Kyung Myung; Jung,  Hyun Seouk; Lee,  Hae Jeong

Journal of Korean Society of Ultrasound in Medicine 2008;27(2): 103-107.

Chang Suk Park, Jung Whee Lee, Se Jeong Oh, Je Ho Han, Ki jun Kim, Kyung Myung Sohn, Hyun Seouk Jung, Hae Jeong Lee

¹Department of Radiology, Our Lady of Mercy Hospital, College of Medicine, The Catholic University of Korea, Korea. whee88@yahoo.co.kr
²Department of General Surgery, Our Lady of Mercy Hospital, College of Medicine, The Catholic University of Korea, Korea.
³Department of Endocrinology, Our Lady of Mercy Hospital, College of Medicine, The Catholic University of Korea, Korea.

Published online: June 1, 2008.

ABSTRACT

A Killian-Jamieson diverticulum is a type of pharyngoesophageal diverticuli and can be visualized on thyroid ultrasonography (US). Although most of the lesions are located in the deep layer of the left thyroid lobe, we encountered a case of a right-sided Killian-Jamieson diverticulum in a 64-year-old man that was mistaken for a thyroid nodule on US. We describe the US, computed tomographic, and esophagraphic findings of this case. In addition, we describe the US findings of a left Killian-Jamieson diverticulum in a 55-year-old woman that was seen as a hyperechoic mass in the thyroid on US.. The shape and echogenecity of the diverticulum changed with swallowing as depicted on real-time US and the need for a needle aspiration biopsy was avoided.

Keywords: Diverticula esophagus; Thyroid; Ultrasound (US)