Systematic Reviews
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Meta-Anal. Jun 28, 2020; 8(3): 265-274
Published online Jun 28, 2020. doi: 10.13105/wjma.v8.i3.265
Hydatidosis and the duodenum: A systematic review of the literature
Víctor de la Fuente-Aguilar, Patricia Beneitez-Mascaraque, Sergio Bergua-Arroyo, María Fernández-Riesgo, Irene Camón-García, Iris Cruza-Aguilera, Kennia Ugarte-Yáñez, José M Ramia
Víctor de la Fuente-Aguilar, Patricia Beneitez-Mascaraque, Sergio Bergua-Arroyo, María Fernández-Riesgo, Irene Camón-García, Iris Cruza-Aguilera, Kennia Ugarte-Yáñez, José M Ramia, Faculty of Medicine, Universidad of Alcalá, Alcalá de Henares 28801, Spain
José M Ramia, Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Alicante and Institute for Health and Biomedical Research (ISABIAL) Alicante 03010, Spain
Author contributions: Ramia JM designed the research; de la Fuente-Aguilar V, Beneitez-Mascaraque P, Bergua-Arroyo S, Fernández-Riesgo M, Camón-García I, Cruza-Aguilera I, Ugarte-Yáñez K performed the research; de la Fuente-Aguilar V, Beneitez-Mascaraque P, Bergua-Arroyo S, Fernández-Riesgo M, Camón-García I, Cruza-Aguilera I, Ugarte-Yáñez K and Ramia JM analyzed the data; and de la Fuente-Aguilar V, Beneitez-Mascaraque P, Bergua-Arroyo S, Fernández-Riesgo M, Camón-García I, Cruza-Aguilera I, Ugarte-Yáñez K and Ramia JM wrote the paper.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised in accordance with this checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: José M Ramia, BSc, FACS, FRCS (Gen Surg), MD, PhD, Head, Department of Surgery, Hospital General Universitario de Alicante. Calle Pintor Baeza 11, Alicante, Spain. jose_ramia@hotmail.com
Received: February 13, 2020
Peer-review started: February 13, 2020
First decision: March 26, 2020
Revised: April 15, 2020
Accepted: June 13, 2020
Article in press: June 13, 2020
Published online: June 28, 2020
Abstract
BACKGROUND

Injury to the duodenum (fistula formation, compression, or other complications) by a hydatid cyst (HC) is an exceptional complication.

AIM

To perform a systematic review of the literature on the fistulization of HC in the duodenum.

METHODS

Following PRISMA guidelines, a search for HC with duodenal involvement was carried out in the databases of PubMed, SCielo and EMBASE without time limits.

RESULTS

Fourteen patients were identified, seven men and seven women, with a mean age of 53.14 years (SD = 17.65, range: 28-78). Three out of the 14 (21%) had HC relapse. The most frequent clinical manifestations were abdominal pain and nausea and/or vomiting. Various imaging studies were performed in almost all cases, the most commonly used being abdominal computed tomography (10/14, 71%). A range of surgical techniques were reported, most frequently HC drainage (41%) and enucleations (16%). Ten of the 14 patients had no complications and one patient died. The follow-up period and recurrences could not be determined.

CONCLUSION

The most frequent symptoms were abdominal pain, nausea and vomiting. Computed tomography was the most used diagnostic imaging technique, and HC drainage and fistula closure via laparotomy was the most frequent treatment. However, all diagnostic and therapeutic options for HC fistulizing the duodenum had a low level of evidence.

Keywords: Echinococcosis, Hydatidosis, Duodenum, Surgery, Review

Core tip: Hydatidosis is a global zoonosis. The most frequent organs affected are the liver (50%-70%) and the lungs (20%-30%) The duodenum is an organ that is very rarely affected by hydatidosis, either primarily or secondarily. Possible forms of secondary duodenal involvement are compression, or, more frequently, fistulization from hydatid cysts located in neighboring organs. The hydatid cysts that most often fistulize the duodenum are those located in the liver (0.15% of instances), with cases also described from the pancreas and kidney. Its low prevalence and the few existing records mean that the choice of the best therapeutic management is a challenge. A systematic review let readers know all published cases and best management.