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Multi-venous thrombosis associated with a perforated hydatid cyst: A rare case report and comprehensive literature

Lotfollah Davoodi1, Eissa Soleymani2, Pooria Sobhanian3

  • 1Department of Infectious Diseases, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Iran.

Idcases
|July 17, 2025
PubMed

Insights

Hydatid cyst disease, caused by Echinococcus granulosus, can rarely lead to multi-venous thrombosis. This case highlights successful treatment with albendazole and anticoagulation.

Area of Science:

  • Parasitology
  • Vascular Medicine
  • Hepatology

Background:

  • Hydatid cyst disease (HCD) is caused by Echinococcus granulosus larvae.
  • Vascular complications, though rare, can arise from HCD.
  • Hepatic hydatid cysts are a common manifestation.

Observation:

  • A 61-year-old male presented with abdominal pain.
  • Imaging revealed a hepatic hydatid cyst.
  • Extensive thrombosis of the portal, superior mesenteric, and splenic veins was diagnosed.

Findings:

  • Successful treatment involved albendazole for the hydatid cyst.
  • Anticoagulant therapy effectively managed the multi-venous thrombosis.
  • The patient remained asymptomatic with no recurrence over a three-year follow-up.

Implications:

  • This case underscores the importance of recognizing rare vascular complications of HCD.
  • Increased physician awareness is crucial for timely diagnosis and management.
  • Effective treatment strategies combine antiparasitic and anticoagulant therapies.
Abstract

Keywords:
AlbendazoleEchinococcus granulosusHydatid cyst diseaseVenous thrombosisWarfarin

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