Ota Koshi, Onoe Miyako, Oka Masahiro, Ota Kanna, Taniguchi Kohei, Sakaue Masahide, Takasu Akira
Department of Emergency Medicine Osaka Medical College Takatsuki City Osaka Japan.
Osaka Medical College Health Science Clinic Takatsuki City Osaka Japan.
J Gen Fam Med. 2018 Dec 8;20(2):62-64. doi: 10.1002/jgf2.222. eCollection 2019 Mar.
Killian-Jamieson diverticulum (KJD) is a rare disease of the cervical esophagus, often misidentified as thyroid nodules on ultrasonography. We performed carotid artery ultrasonography for an asymptomatic 68-year-old man. The ultrasound showed an oval nodule with heterogeneous echogenicity surrounded by a multilayered rim in the posterior left thyroid gland. As endoscopy and computed tomography confirmed pharyngoesophageal diverticulum in the anterolateral wall of the esophagus, we reached a final diagnosis of KJD. In cases where a thyroid nodule is detected by ultrasound, physicians should be aware of the possibility of KJD before performing invasive procedures.
基利安-贾米森憩室（KJD）是一种罕见的颈段食管疾病，在超声检查中常被误诊为甲状腺结节。我们对一名68岁无症状男性进行了颈动脉超声检查。超声显示左甲状腺腺叶后方有一个椭圆形结节，回声不均匀，周围有多层边缘。由于内镜检查和计算机断层扫描证实食管前外侧壁存在咽食管憩室，我们最终诊断为KJD。在超声检查发现甲状腺结节的病例中，医生在进行侵入性操作前应意识到KJD的可能性。
