Pharyngo-esophageal diverticulum arising from Laimer's triangle

Kumoi, Kazuo; Ohtsuki, Naoki; Teramoto, Yasuji

doi:10.1007/s004050100336

Cited by 19 publications

(16 citation statements)

References 6 publications

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“…Laimer's diverticulum has been documented in three cases in the literature [2][3][4]. In 1993, Boysen reported two large hypopharyngeal diverticula in one patient with an upper diverticulum originating above the cricopharyngeus and a lower diverticulum originating below the cricopharyngeus.…”

Section: Discussionmentioning

confidence: 99%

“…This diverticulum results from the lack of relaxation of the cricopharyngeus muscle during swallowing, causing a pulsion diverticulum in Killian's triangle between the cricopharyngeus and the inferior pharyngeal constrictor muscles [1]. A much rarer type, Laimer's diverticulum, has been described in three prior case reports [2][3][4] and arises from the posterior upper esophagus, inferior to the cricopharyngeus. We present a case of a patient with a hypopharyngeal posterior true diverticulum inferior to the cricopharyngeus consistent with Laimer's diverticulum.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Laimer’s Diverticulum, A Rare True Diverticulum Inferior to the Cricopharyngeus: Report of a Case and Review of the Literature

Nguyen

Moslemi²,

Rawashdeh³

et al. 2014

J Clin Case Rep

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Laimer’s Diverticulum, A Rare True Diverticulum Inferior to the Cricopharyngeus: Report of a Case and Review of the Literature

Nguyen

Moslemi²,

Rawashdeh³

et al. 2014

J Clin Case Rep

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“…The rarest variant of pharyngeal diverticulum is often referred to as Laimer's or Laimer-Haeckerman's diverticulum. Similar to the Killian-Jamieson diverticulum, it originates between cricopharyngeus and the longitudinal muscle of the oesophagus; however, it is located posteriorly and midline, from the area termed Laimer-Haeckerman's triangle, and is covered only by the circular muscles of the oesophagus [4–6]. The various subtypes of pharyngoesophageal diverticulum are easily distinguishable with radiographic studies [2].…”

Section: Introductionmentioning

confidence: 99%

“…The various subtypes of pharyngoesophageal diverticulum are easily distinguishable with radiographic studies [2]. There have only been 3 reports of Laimer-Haeckerman's diverticuli thus far [4–6]. …”

Section: Introductionmentioning

confidence: 99%

Atypical Pharyngeal Pouch Arising Bilaterally between the Hyoid Bone and Thyroid Cartilage

Chan

Veivers

2017

Case Reports in Otolaryngology

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Introduction. Pharyngoesophageal diverticuli are a common cause of dysphagia; they are associated with various morbidities and a decreased quality of life. There are several different types of the diverticuli, and they are divided based on the anatomical location of origin relative to the cricopharyngeal muscle; these include Zenker's, Killian-Jamieson's, and Laimer's diverticula. The authors present a unique case of pharyngoesophageal diverticulum that has not been previously described. Case Presentation. A 65-year-old male presented with a 12-month history of dysphagia and odynophagia for solids. Barium swallow revealed bilateral moderately sized diverticuli that altered in size during the different phases of swallow. CT scan of the neck with oral contrast further identified the anatomy of the diverticuli, arising between the hyoid bone and thyroid cartilage. Discussion. An external transcervical approach was utilised to successfully repair the diverticuli. Subsequent cricopharyngeal spasm was treated with botulinum toxin, and the patient recovered with no ongoing symptoms. The barium swallow study is a commonly utilised initial investigation as it is easy to perform and safe and has good diagnostic value. Definitive management usually involves either endoscopic or open surgery. This case depicts a unique case of a pharyngeal diverticulum arising between the hyoid bone and thyroid cartilage.

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“…1A) 3. Laimer's diverticuli are located inferior and posterior to the cricopharyngeus muscle 4. Ekberg and Nylander first described Killian‐Jamieson diverticulum (KJD) in 1983 5.…”

Section: Introductionmentioning

confidence: 99%

Killian‐Jamieson diverticulum

2012

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Killian-Jamieson diverticulum (KJD) is rare hypopharyngeal defect. As in other forms of esophageal diverticuli (i.e., Zenker's), recent literature has described minimally invasive endoscopic approaches to its management.1, 2 We present a case of a 62-year-old female with symptoms consistent with an esophageal diverticulum. A barium swallow study was consistent with a KJD. The patient was brought to the operating room and endoscopically examined to confirm the presence of this entity. A open transcervical approach was performed to remove the diverticulum without complication. During our dissection, the recurrent laryngeal nerve (RLN) was noted to be adherent to the base of the diverticulum and needed to be freed prior to performing the diverticulectomy. We provide a review of recent literature and medical illustrations to highlight the importance of the open transcervical approach in the management of KJD to avoid inadvertent transection of the RLN.

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Pharyngo-esophageal diverticulum arising from Laimer's triangle

Cited by 19 publications

References 6 publications

Laimer’s Diverticulum, A Rare True Diverticulum Inferior to the Cricopharyngeus: Report of a Case and Review of the Literature

Laimer’s Diverticulum, A Rare True Diverticulum Inferior to the Cricopharyngeus: Report of a Case and Review of the Literature

Atypical Pharyngeal Pouch Arising Bilaterally between the Hyoid Bone and Thyroid Cartilage

Killian‐Jamieson diverticulum

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