Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621, Japan.
Surg Today. 2010 Mar;40(3):257-61. doi: 10.1007/s00595-009-4048-z. Epub 2010 Feb 24.
A Killian-Jamieson (K-J) diverticulum is an uncommon hypopharyngeal diverticulum related to the better-recognized Zenker's diverticulum. Cervical cellulitis due to K-J diverticulitis is also highly exceptional. We report the case of a 53-year-old woman with cervical cellulitis caused by K-J diverticulitis. The cellulitis was cured by the administration of an antibiotic agent. The patient underwent a resection of the K-J diverticulum 2 months after the cellulitis was cured. The cervical diverticulum was judged to be a K-J diverticulum because the diverticulum prolapsed laterally just below the cricopharyngeus muscle on the esophagogram. The left recurrent laryngeal nerve adhered to the proximity of the orifice of the diverticulum. The recurrent laryngeal nerve was carefully preserved before the resection of the diverticulum. Accurate differential diagnosis between K-J and Zenker's diverticula is necessary before surgery to preserve the recurrent laryngeal nerve.
Killian-Jamieson（K-J）憩室是一种不常见的下咽憩室，与更为人熟知的Zenker 憩室有关。由 K-J 憩室炎引起的颈蜂窝织炎也非常罕见。我们报告了一例由 K-J 憩室炎引起的 53 岁女性颈蜂窝织炎的病例。蜂窝织炎通过给予抗生素治愈。在蜂窝织炎治愈后 2 个月，患者接受了 K-J 憩室切除术。憩室造影显示憩室在环咽肌下方向外侧膨出，因此判断该颈憩室为 K-J 憩室。左喉返神经紧贴憩室口附近。在切除憩室之前，小心地保护喉返神经。在手术前需要对 K-J 和 Zenker 憩室进行准确的鉴别诊断，以保留喉返神经。
