Systematic Reviews
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2019; 7(13): 1634-1642
Published online Jul 6, 2019. doi: 10.12998/wjcc.v7.i13.1634
Hydatid cyst of the colon: A systematic review of the literature
Miguel Ángel Latatu-Córdoba, Sergio Ruiz-Blanco, Matilde Sanchez, Carmen Santiago-Boyero, Paula Soto-García, Wenzhong Sun, José M Ramia
Miguel Ángel Latatu-Córdoba, Sergio Ruiz-Blanco, Matilde Sanchez, Carmen Santiago-Boyero, Paula Soto-García, Wenzhong Sun, Faculty of Medicine, Universidad of Alcalá, Alcalá de Henares 28801, Spain
José M Ramia, Servicio de Cirugía Generaly del Aparato Digestivo, Hospital Universitario de Guadalajara, Guadalajara 19002, Spain
Author contributions: Ramia JM designed research; Latatu-Córdoba MÁ, Ruiz-Blanco S, Sanchez M, Santiago-Boyero C, Soto-García P, Sun W performed research; Latatu-Córdoba MÁ, Ruiz-Blanco S, Sanchez M, Santiago-Boyero C, Soto-García P, Sun W and Ramia JM analyzed data; and Latatu-Córdoba MÁ, Ruiz-Blanco S, Sanchez M, Santiago-Boyero C, Soto-García P, Sun W and Ramia JM wrote the paper.
Conflict-of-interest statement: The authors declare no conflicts of interest.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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, Associate Professor, Doctor, Medical Assistant, Surgeon, Surgical Oncologist, Head, Department of Surgery, Hospital Universitario de Guadalajara, calle Donante de sangre s/n, Guadalajara 19002, Spain. jose_ramia@hotmail.com
Telephone: +34-616-292056
Received: January 21, 2019
Peer-review started: January 22, 2019
First decision: March 10, 2019
Revised: May 29, 2019
Accepted: June 10, 2019
Article in press: June 10, 2019
Published online: July 6, 2019
Processing time: 168 Days and 1.6 Hours
Abstract
BACKGROUND

Primary hydatid disease in the colon is an extremely rare finding. We performed a systematic review of cases of hydatidosis of the colon published to date.

AIM

To systematic review the published papers about hydatidosis of the colon.

METHODS

Following PRISMA guidelines, we performed an unlimited search for articles on CH in the MEDLINE (PubMed), EMBASE, Cochrane, Latindex and Scielo databases, published in English, Spanish, French, German or Italian between January 1, 1960 and December 15, 2018. The search items were: (Colon) AND [(hydatidosis) OR (hydatid disease) OR (echinococcosis)].

RESULTS

Nine case reports were found [five men, four women, median age 64.55 years (range: 21-81)]. The most frequent clinical manifestation was abdominal pain (8/9) (88.9%). In almost all cases several image studies were carried out, but abdominal computed tomography was the most used (66.7%). Five resections of the colon (62.5%) and three sutures of the fistula between cyst and colon (37.5%) were performed. Four patients did not present post-operative complications, but one died. Postoperative period was recorded for a mean period of 35 months. No recurrences were recorded.

CONCLUSION

The most frequent symptom was abdominal pain (evidence level 4). Computed tomography was the most frequently used diagnostic imaging technique (evidence level 4). Colectomy was the most appropriate treatment (evidence level 5). All the diagnostic and therapeutic options for hydatid cysts located in colon have a low level of evidence.

Keywords: Echinococcosis; Hydatidosis; Hydatid cyst; Colon; Surgery; Review

Core tip: Hydatidosis of the colon or hydatid cysts causing any clinical problem in colon (fistula, hemorrage or obstruction) is a extremely rare condition. We have performed a systematic review of the literature focusing in epidemiological, diagnostic and therapeutic tips about this topic. We have tried to find explanations about the low incidence of primary hydatidosis of the colon or affecting the colon. No clear explanation about low incidence has been found.