KMID : 1024320230130020144
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Journal of the Korean Dysphagia Society 2023 Volume.13 No. 2 p.144 ~ p.148
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Incidental Finding of Killian-Jamieson Diverticulum in a Patient with Acute Cerebral Infarction: A Case Report
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Song Woo-Sup
Kim Kyung-Min Seo Sang-Gyu Hwang Ki-Hun
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Abstract
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Since dysphagia is a common occurrence after a stroke, assessing the swallowing function in stroke patients is important. Killian-Jamieson diverticulum is a rare esophageal diverticulum that leads to various complications. However, few studies have reported the presence of the Killian-Jamieson diverticulum subsequent to a cerebral infarct. A 66-year-old woman diagnosed with left periventricular white matter infarction complained of dysphagia. A suspected diverticulum observed in the first videofluoroscopic swallowing study (VFSS) was thought to be un-related to the patient¡¯s symptoms. However, since the patient continued to complain of dysphagia, computed to-mography was performed to detect any anatomical abnormalities that could cause dysphagia. An approximately 12 mm-sized Killian-Jamieson diverticulum was found on the left side of the esophagus at the C5-6 level. A reversed flow from the diverticulum was observed in the following VFSS. No treatment was administered as the caregiver disagreed with the patient¡¯s aggressive treatment options, which included surgical procedures such as divertic-ulectomy and cricopharyngeal myotomy. Only periodic VFSS follow-up was continued. The association between Killian-Jamieson diverticulum and cerebral infarction remains unclear. This case underlines the importance of con-sidering an esophageal diverticulum in patients with aggravated swallowing difficulties after cerebral infarction.
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KEYWORD
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Cerebral infarction, Dysphagia, Esophageal diverticulum, Videofluoroscopy
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