Acquired coarctation of abdominal aorta by hydatid disease

A 45-year-old woman presented to the hospital with severe back pain, inability to stand, and increased blood pressure for 4 months. She had been diagnosed with hepatic hydatid disease 4 years ago but refused any treatment. Physical examination revealed an upper limb blood pressure of 199/104 mmHg, compared to the lower limb’s 113/80 mmHg. CT scans discovered a large hilar mass involved in the abdominal aorta (Panel 1A), pathologic fractures of the T12–L2 vertebras (Panel 1B), and the coarctation of abdominal aorta at the L1 vertebra level (Panel 1C). The patient was treated with Urapidil and Nifedipine for hypertension and Albendazole for hydatid disease. After the blood pressure was controlled at 150/100 mmHg, the patient underwent laminectomy and fusion. Pathological examination confirmed alveolar echinococcosis (AE). The patient was able to walk 3 months after the surgery but died 1 year after the presentation due to disease progression.

Acknowledgments

Song-Hua Xiao MD, Su-Xi Gu MD, and Dong-Hu MD performed the orthopedic surgery. We thank Chia-Yung Lee for language editing assistance, and Tzu-Hua Lee for technical help.

Funding: None.

Footnote

Provenance and Peer Review: This article is a standard submission to the editorial office, Hepatobiliary Surgery and Nutrition. The article did not undergo external peer review.

Conflicts of Interest: Both authors have completed the ICMJE uniform disclosure form (available at https://hbsn.amegroups.org/article/view/10.21037/hbsn-20-743/coif). The authors have no conflicts of interest to declare.

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