A case of Secondary Hypertension Due to Giant Hydatid Cyst. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2018]

Author(s):

1. Burcin Atak: Department of Internal Medicine, Abant Izzet Baysal University (AIB), Bolu, Turkey

2. Gulali Aktas: Department of Internal Medicine, Abant Izzet Baysal University (AIB), Bolu, Turkey

3. MZahid Kocak: Department of Internal Medicine, Abant Izzet Baysal University (AIB), Bolu, Turkey

4. Tuba Duman: Department of Internal Medicine, Abant Izzet Baysal University (AIB), Bolu, Turkey

5. Edip Erkus: Department of Internal Medicine, Abant Izzet Baysal University (AIB), Bolu, Turkey

6. Kamil Gurel: Department of Radiology, Abant Izzet Baysal University (AIB), Bolu, Turkey

7. Haluk Savli: Department of Internal Medicine, Abant Izzet Baysal University (AIB), Bolu, Turkey

Abstract:

Hydatid cyst is a parasitic infection which causes enormous morbidity and mortality worldwide. The pathogenic organism responsible for hydatid cyst is Echinococcus granulosus. Despite the fact that the characteristic cysts of the disease usually occur in liver and lungs, they may also occur in aberrant localisations. Subjects either present with symptoms of infection itself or local complications due to compressive mass effect of the cyst. Here, we report a case of secondary hypertension due to extrinsic compression of the right renal artery by a giant hepatic hydatid cyst. A 78-year woman presented with poorly controlled hypertension. She has been treated for hypertension with an angiotensin converting enzyme inhibitor plus calcium channel blocker for the last 2 years. Imaging studies revealed narrowing of the right renal artery and external compression, caused by a giant hydatid cyst. The giant hydatid cyst was treated by cyst aspiration and alcohol injection. Despite cessation of angiotensin converting enzyme inhibitor plus calcium channel blocker, she remained normotensive on follow-up visits. New onset and resistant hypertension cases in elderly should be carefully evaluated for secondary causes of hypertension, including renovascular conditions. Mass effect of the hydatid cyst disease should be considered in the differential diagnosis.

Page(s): 798-803

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 28, Issue: 10, Year: 2018

Keywords:

Keywords are not available for this article.

References:

[1] ZhangX,XuY,ChenX,WangS,LiX,YanX, 2017.Treatment of severe hypertension in a 14-year-old child: Successful blood pressure control with additive administration of captopril, an angiotensinconverting enzyme inhibitor, in a patient with bilateral renovascular hypertension,Clin Exp Hypertens 39 587 -91

[2] MonnierG,GuerardS,GodonP,Van de WalleJP,BrionR, 2000.Paraganglioma associated with renal artery stenosis: unusual cause of secondary arterial hypertension. A case report and review of the literature, 49 168 -73

[3] PlouinPF,BaxL, 2010.Diagnosis and treatment of renal artery stenosis,Nat Rev Nephrol 6 151 -9

[4] ApreaG,AloiaS,QuartoG,FurinoE,AmatoM,BiancoT, 2016.Uncommon primary hydatid cyst occupying the adrenal gland space, treated with laparoscopic surgical approach in an old patient,Open Med 11 413 -7

[5] SaadiA,BouzouitaA,CherifM,RebaiMH,KerkeniW,AyedH, 2015.Retrovesical hydatic cyst: About 4 cases,Can Urol Assoc J 9 E374 -8

[6] CamporrotondoM,VrancicM,PiccininiF,NaviaD., 2014.Surgical treatment of pulmonary hypertension caused by echinococcosis disease,J Thorac Cardiovasc Surg 147 e15 -16

[7] MorenoSerrano,A , Garcia Diaz,JJ , Ferrer Marquez,M , Moreno Marin,P , Fabiano,P., 2016.A propos of a case: Abdominal compartment syndrome caused by massive hydatid disease,Rev Esp Enferm Dig 108 110 -1

[8] GenchevaDG,MenchevDN,PenchevDK,TokmakovaMP, 2017.An incidental finding of heart echinococcosis in a patient with infective endocarditis: a case report,Folia Med 59 110 -3

[9] CharlesL,TriscottJ,DobbsB, 2017.Secondary hypertension: Discovering the underlying cause,Am Fam Physician 96 453 -61

[10] EckertJ,DeplazesP, 2004.Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern,Clin Microbiol Rev 17 107 -35

Citations

Downloads

Views