de la Fuente-Aguilar V, Beneitez-Mascaraque P, Bergua-Arroyo S, Fernández-Riesgo M, Camón-García I, Cruza-Aguilera I, Ugarte-Yáñez K, Ramia JM. Hydatidosis and the duodenum: A systematic review of the literature.
World J Meta-Anal 2020;
8:265-274. [DOI:
10.13105/wjma.v8.i3.265]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Revised: 04/15/2020] [Accepted: 06/13/2020] [Indexed: 02/06/2023] Open
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.
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