Unfortunately I don't think you're going to be able to do this, at least not without a lot of guess-work. In HTML this would be easy because a hyperlink and its text are stored together as:
<a href="http://www.example.com/">Click here</a>
However, in a PDF these two entities are not stored with any form of relationship. What we think of as a "hyperlink" within a PDF is technically a PDF Annotation that just happens to be sitting on top of text. You can see this by opening a PDF in an editing program such as Adobe Acrobat Pro. You can change the text but the "clickable" area doesn't change. You can also move and resize the "clickable" area and put it anywhere in the document.
When creating PDFs, iText/iTextSharp abstract this away so you don't have to think about this. You can create a "hyperlink" with clickable text but when it generates a PDF it ultimately will create the text as normal text, calculate the rectangle coordinates and then put an annotation at that rectangle.
I did say that you could try to guess at this, and it might or might not work for you. To do this you'd need to get the rectangle for annotation and then find the text that's also at those coordinates. It won't be an exact match, however, because of padding issues. If you absolutely have to get the text under a hyperlink then this is the only way that I know of for doing this. Good luck!