What is the most likely diagnosis?
- 58 year-old with heartburn
Frontal and Oblique Esophagram-Cervical Esophagus
- Perforated Esophagus
- Zenker Diverticulum
- Cricopharyngeal Bar
- Killian-Jamieson Diverticulum
- Esophageal Web
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Answer:
4. Killian-Jamieson Diverticulum
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Killian-Jamieson Diverticulum
General Considerations
- Arises from cervical esophagus below cricopharyngeal muscle (about C5-C6) laterally
- Originates on the antero-lateral wall of cervical esophagus through a muscular gap (the Killian-Jamieson space) lateral to longitudinal muscle of the esophagus
- It is a pulsion, not a true, diverticulum since it does not involve all layers of esophagus
- Usually smaller than a Zenker diverticulum