title: Clinical Conundrum: Killian-Jamieson Diverticulum with Paraesophageal Hernia.
abstract: Killian-Jamieson diverticulum is a outpouching of the lateral cervical esophageal wall adjacent to the insertion of the recurrent laryngeal to the larynx and is much less common in clinical practice than Zenkers Diverticulum. Surgical management of Killian-Jamieson diverticulum requires open transcervical diverticulectomy due to the proximity of the recurrent laryngeal nerve to the base of the pouch. We present a case of a Killian-Jamieson diverticulum associated with a concurrent large type III paraesophageal hernia causing significant solid-food dysphagia, post-prandial regurgitation of solid foods, and chronic cough managed with open transcervical diverticulectomy and laparoscopic paraesophageal hernia repair with Nissen fundoplication.
authors.affiliation: Department of Otolaryngology & Communication Sciences, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA. jbock@mcw.edu.
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Bock
authors.affiliation: Department of Otolaryngology & Communication Sciences, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Knabel
authors.affiliation: Department of Otolaryngology & Communication Sciences, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA.
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Lew
authors.affiliation: Department of Radiology, Medical College of Wisconsin, Milwaukee, WI, USA.
authors.forename: Paul M
authors.initials: PM
authors.lastname: Knechtges
authors.affiliation: Department of General Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.
authors.forename: Jon C
authors.initials: JC
authors.lastname: Gould
authors.affiliation: Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
authors.forename: Benson T
authors.initials: BT
authors.lastname: Massey
mesh_terms: D003371:Cough / Q000209:etiology*; D003680:Deglutition Disorders / Q000209:etiology*; D004936:Diverticulum, Esophageal / Q000150:complications* / Q000473:pathology; D004947:Esophagus / Q000473:pathology; D006551:Hernia, Hiatal / Q000150:complications* / Q000473:pathology; D006801:Humans; D057045:Laryngopharyngeal Reflux / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012009:Recurrent Laryngeal Nerve / Q000473:pathology
keywords: Chronic cough; Diverticulectomy; Dysphagia; Emesis; Fundoplication; Hiatal hernia; Killian-Jamieson diverticulum; Paraesophageal hernia