Killian – Jamieson Diverticulum: a rare cause of dysphagia
Adithya, S. L.
Killian – Jamieson Diverticulum: a rare cause of dysphagia - Vol.19(4), Oct-Dec - Jaipur Health Education Bureau 2024 - 36-39p.
Killian-Jamieson Diverticulum (KJD) is a rare diverticulum arising from a muscular gap in the anterior-lateral wall of the
proximal cervical oesophagus, just below the cricopharyngus muscle and superior-lateral to the longitudinal muscle of the
[1]
oesophagus .This condition requires cricophargyngeal and oesophageal myotomy, but diverticulotomy is sufficient for
surgical treatment of Killian-Jamieson diverticulum. Thus, accurate preoperative diagnosis is indispensible for avoiding
unnecessary invasive surgery. Usually barium esophagram and axial computed tomography (CT) scans can localize the
origin of these sacsand helps to determine the type of diverticulum. We present a case of a 53-year-old female with
symptoms of difficulty in swallowing for 3 weeks. She had a past medical history of systemic hypertension and was taking
TAB TELMISARTAN 40mg twice daily and TAB ATENOLOL 50mg twice daily. CT scan of the neck revealed focal air
filled out pouching measuring 8.6 x 6.4 x 11 mm from the proximal cervical oesophagus at the C6-C7 level on the left side.
Patient was successfully managed with diverticulectomy and myotomy.
Hospital and Clinical Pharmacy
Killian – Jamieson Diverticulum: a rare cause of dysphagia - Vol.19(4), Oct-Dec - Jaipur Health Education Bureau 2024 - 36-39p.
Killian-Jamieson Diverticulum (KJD) is a rare diverticulum arising from a muscular gap in the anterior-lateral wall of the
proximal cervical oesophagus, just below the cricopharyngus muscle and superior-lateral to the longitudinal muscle of the
[1]
oesophagus .This condition requires cricophargyngeal and oesophageal myotomy, but diverticulotomy is sufficient for
surgical treatment of Killian-Jamieson diverticulum. Thus, accurate preoperative diagnosis is indispensible for avoiding
unnecessary invasive surgery. Usually barium esophagram and axial computed tomography (CT) scans can localize the
origin of these sacsand helps to determine the type of diverticulum. We present a case of a 53-year-old female with
symptoms of difficulty in swallowing for 3 weeks. She had a past medical history of systemic hypertension and was taking
TAB TELMISARTAN 40mg twice daily and TAB ATENOLOL 50mg twice daily. CT scan of the neck revealed focal air
filled out pouching measuring 8.6 x 6.4 x 11 mm from the proximal cervical oesophagus at the C6-C7 level on the left side.
Patient was successfully managed with diverticulectomy and myotomy.
Hospital and Clinical Pharmacy