Abstract
BACKGROUND: Hydatid cyst disease (HCD), caused by the larvae of Echinococcus granulosus (E. granulosus), can lead to rare vascular complications. This case report details the diagnosis and management of a patient with a hepatic hydatid cyst complicated by extensive multi-venous thrombosis. CASE PRESENTATION: A 61-year-old male stockbreeder presented with abdominal pain localized in the hypogastric region, exacerbated by food intake. Imaging revealed a hepatic HCD and thrombosis of the portal, superior mesenteric, and splenic veins. The patient was successfully treated with albendazole for the cyst and anticoagulant therapy for the thrombosis, with no recurrence of symptoms during a three-year follow-up period. CONCLUSION: While multi-venous thrombosis associated with HCD is rare, documented cases highlight the need for increased awareness among physicians to effectively recognize and manage this complication.