Davoodi Lotfollah, Soleymani Eissa, Sobhanian Pooria, Hosseinzadeh Mahla, Baradaran Mansoureh, Banimostafavi Elham Sadat, Fakhar Mahdi
Department of Infectious Diseases, Antimicrobial Resistance Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Iran.
Department of Parasitology, Toxoplasmosis Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Mazandaran, Sari, Iran.
IDCases. 2025 Jun 20;41:e02297. doi: 10.1016/j.idcr.2025.e02297. eCollection 2025.
Hydatid cyst disease (HCD), caused by the larvae of (), 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.
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.
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.
由（）幼虫引起的包虫囊肿病（HCD）可导致罕见的血管并发症。本病例报告详细介绍了一名患有肝包虫囊肿并伴有广泛多静脉血栓形成患者的诊断和治疗情况。
一名61岁的男性饲养员出现下腹部局限性腹痛，进食后加重。影像学检查显示肝HCD以及门静脉、肠系膜上静脉和脾静脉血栓形成。该患者通过使用阿苯达唑治疗囊肿以及抗凝治疗血栓，获得成功治愈，在三年随访期内症状未复发。
虽然与HCD相关的多静脉血栓形成很少见，但已记录的病例强调医生需要提高认识，以便有效识别和处理这种并发症。
