Abstract
Cystic echinococcosis (CE) caused by Echinococcus granulosus presents a significant public health concern globally, with varied clinical presentations ranging from asymptomatic to life-threatening complications. We report a case of a 58-year-old female with extensive hydatid disease involving multiple cysts in the abdominal, pelvic, and pericardial cavities, resulting in substantial morbidity. Despite the complexity of the case and the therapeutic dilemma it posed, a tailored management approach combining medical therapy with either surgical intervention or minimally invasive procedures was employed. This case highlights the challenges in managing advanced CE infections and underscores the importance of individualized treatment strategies guided by a comprehensive understanding of the disease and its potential complications.