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Clinical Conundrum: Killian-Jamieson Diverticulum with Paraesophageal Hernia

  • Clinical Conundrum
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Abstract

Killian-Jamieson diverticulum is a outpouching of the lateral cervical esophageal wall adjacent to the insertion of the recurrent laryngeal to the larynx and is much less common in clinical practice than Zenkers Diverticulum. Surgical management of Killian-Jamieson diverticulum requires open transcervical diverticulectomy due to the proximity of the recurrent laryngeal nerve to the base of the pouch. We present a case of a Killian-Jamieson diverticulum associated with a concurrent large type III paraesophageal hernia causing significant solid-food dysphagia, post-prandial regurgitation of solid foods, and chronic cough managed with open transcervical diverticulectomy and laparoscopic paraesophageal hernia repair with Nissen fundoplication.

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Abbreviations

KJD:

Killian-Jamieson diverticulum

ZD:

Zenker diverticulum

RLN:

Recurrent laryngeal nerve

CPM:

Cricopharyngeus muscle

GERD:

Gastroesophageal reflux disease

EGD:

Esophagogastroduodenoscopy

PH:

Paraesophageal hernia

GEJ:

Gastroesophageal junction

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Authors and Affiliations

  1. Department of Otolaryngology & Communication Sciences, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA

    Jonathan M. Bock, Michael J. Knabel & Daniel A. Lew

  2. Department of Radiology, Medical College of Wisconsin, Milwaukee, WI, USA

    Paul M. Knechtges

  3. Department of General Surgery, Medical College of Wisconsin, Milwaukee, WI, USA

    Jon C. Gould

  4. Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA

    Benson T. Massey

Authors
  1. Jonathan M. Bock
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  2. Michael J. Knabel
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  3. Daniel A. Lew
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  4. Paul M. Knechtges
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  5. Jon C. Gould
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  6. Benson T. Massey
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Corresponding author

Correspondence to Jonathan M. Bock.

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The authors have no conflict of interest to declare.

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Bock, J.M., Knabel, M.J., Lew, D.A. et al. Clinical Conundrum: Killian-Jamieson Diverticulum with Paraesophageal Hernia. Dysphagia 31, 587–591 (2016). https://doi.org/10.1007/s00455-015-9683-5

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  • DOI: https://doi.org/10.1007/s00455-015-9683-5

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