Latatu-Córdoba Miguel Ángel, Ruiz-Blanco Sergio, Sanchez Matilde, Santiago-Boyero Carmen, Soto-García Paula, Sun Wenzhong, Ramia José M
Faculty of Medicine, Universidad of Alcalá, Alcalá de Henares 28801, Spain.
Servicio de Cirugía Generaly del Aparato Digestivo, Hospital Universitario de Guadalajara, Guadalajara 19002, Spain.
World J Clin Cases. 2019 Jul 6;7(13):1634-1642. doi: 10.12998/wjcc.v7.i13.1634.
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.
To systematic review the published papers about hydatidosis of the colon.
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)].
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.
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.
结肠原发性包虫病是一种极为罕见的病症。我们对迄今已发表的结肠包虫病病例进行了系统综述。
对已发表的关于结肠包虫病的论文进行系统综述。
遵循PRISMA指南，我们在MEDLINE（PubMed）、EMBASE、Cochrane、Latindex和Scielo数据库中对1960年1月1日至2018年12月15日期间以英文、西班牙文、法文、德文或意大利文发表的关于结肠包虫病的文章进行了不限定范围的检索。检索词为：（结肠）AND [（包虫病）或（包虫病）或（棘球蚴病）]。
共找到9例病例报告[5名男性，4名女性，中位年龄64.55岁（范围：21 - 81岁）]。最常见的临床表现是腹痛（8/9）（88.9%）。几乎所有病例都进行了多项影像学检查，但腹部计算机断层扫描是最常用的（66.7%）。进行了5例结肠切除术（62.5%）和3例囊肿与结肠之间瘘管的缝合术（37.5%）。4例患者未出现术后并发症，但1例死亡。术后记录的平均时间为35个月。未记录到复发情况。
最常见的症状是腹痛（证据级别4）。计算机断层扫描是最常用的诊断成像技术（证据级别4）。结肠切除术是最合适的治疗方法（证据级别5）。所有针对位于结肠的包虫囊肿的诊断和治疗选择的证据级别都很低。
