Killian-Jamieson diverticulum is a rare type of pharyngoesophageal diverticula. We present a case of Killian-Jamieson diverticulum that mimicked a thyroid nodule under ultrasonography. Fine-needle aspiration was appli...Killian-Jamieson diverticulum is a rare type of pharyngoesophageal diverticula. We present a case of Killian-Jamieson diverticulum that mimicked a thyroid nodule under ultrasonography. Fine-needle aspiration was applied to identify the content of the thyroid nodule. However, nothing else but only a few squamous cells, amorphous material, and some inflammatory cells were reported under the microscope. The Killian-Jamieson diverticulum was confirmed during the surgery. There was no complication after the operation at the follow-up visit one month later. Retrospect this case, we find that thyroid ultrasonography combined fine-needle aspiration is a recommended way to increase the sensitivity of detecting hypopharyngeal diverticulum.展开更多
Objective:This comprehensive review aims to explain the disease pathophysiology,clinical presentation,and management options.Methods:A review was carried out in the following databases:Medline,Scopus,Web of Science,an...Objective:This comprehensive review aims to explain the disease pathophysiology,clinical presentation,and management options.Methods:A review was carried out in the following databases:Medline,Scopus,Web of Science,and Cochrane.The following terms were used alone and combined:Retrograde,Cricopharyngeus muscle,Dysfunction,Abelchia,and inability to burp.Results:A total of 68 articles were identified,and only 11 were found to be relevant and included in writing this review.Retrograde cricopharyngeal dysfunction(R-CPD)is a relatively new disease entity that has recently been described in clinical literature.It is caused by the inability of the cricopharyngeus muscle to relax.Unlike cricopharyngeal dysfunction(CPD),which is well-known and characterized by dysphagia,R-CPD is characterized by the inability to belch in almost all patients,which is considered diagnostic for the condition.Conclusions:High-resolution manometry(HRM)is the definitive diagnostic modality.Most patients reported in the literature responded well to treatment with botulinum toxin injection.展开更多
文摘Killian-Jamieson diverticulum is a rare type of pharyngoesophageal diverticula. We present a case of Killian-Jamieson diverticulum that mimicked a thyroid nodule under ultrasonography. Fine-needle aspiration was applied to identify the content of the thyroid nodule. However, nothing else but only a few squamous cells, amorphous material, and some inflammatory cells were reported under the microscope. The Killian-Jamieson diverticulum was confirmed during the surgery. There was no complication after the operation at the follow-up visit one month later. Retrospect this case, we find that thyroid ultrasonography combined fine-needle aspiration is a recommended way to increase the sensitivity of detecting hypopharyngeal diverticulum.
文摘Objective:This comprehensive review aims to explain the disease pathophysiology,clinical presentation,and management options.Methods:A review was carried out in the following databases:Medline,Scopus,Web of Science,and Cochrane.The following terms were used alone and combined:Retrograde,Cricopharyngeus muscle,Dysfunction,Abelchia,and inability to burp.Results:A total of 68 articles were identified,and only 11 were found to be relevant and included in writing this review.Retrograde cricopharyngeal dysfunction(R-CPD)is a relatively new disease entity that has recently been described in clinical literature.It is caused by the inability of the cricopharyngeus muscle to relax.Unlike cricopharyngeal dysfunction(CPD),which is well-known and characterized by dysphagia,R-CPD is characterized by the inability to belch in almost all patients,which is considered diagnostic for the condition.Conclusions:High-resolution manometry(HRM)is the definitive diagnostic modality.Most patients reported in the literature responded well to treatment with botulinum toxin injection.
