[Arterial hypertension as clinical manifestation of non-parasitic hepatic cyst. A case report].
We present the case of a 32-year-old female patient referred to the Instituto Nacional de Cancerología (INCan) with a history of several months of systemic hypertension and epigastric pain associated to early postprandial satiety, fatigue, and dyspnea. At physical examination, a smooth, non-tender, palpable mass was found in right upper quadrant 7 cm below costal margin. Computed tomography (CT) scan showed right-sided non-parasitic liver cyst. The patient was taken to the operating room, where she presented hypertensive crisis of 180/125 mm Hg, which did not respond to midazolam therapy. The procedure was suspended and deferred. After blood pressure control with angiotensin II-antagonist and calcium-antagonist, the patient was submitted to laparotomy, where a wide deroofing of the lesion was performed. The postoperative evolution was uneventful and the patient has remained normotense without anti-hypertensive medication after 6 months of follow-up.
Hernández-Castillo
Eduardo
E
Departamento de Gastroenterología, Instituto Nacional de Cancerología (INCan), México, D.F.
Mondragón-Sánchez
Ricardo
R
Mondragón-Sánchez
Alejandro
A
Gómez-Gómez
Elvira
E
Fuentes Carrasco
L N
LN
Ruiz-Molina
Juan M
JM
D000328:Adult; D003560:Cysts / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D008107:Liver Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed