Coeliac disease (CD) is an immune mediated enteropathy caused by the ingestion of gluten in genetically predisposed individuals. It is frequently associated with wide spectrum of extra-intestinal manifestations, including thromboembolism events. We report the case of a young woman known with a CD since the age of 6, who says to be compliant to the gluten free diet (GFD), and presented with bloating and anemic syndrome. The endoscopic and anathomopathological examinations revealed no abnormalities. The CT scan revealed incidentally a chronic obstruction of the inferior vena cava (IVC). the etiological work-up for thromboembolic disease was negative, concluding to a Budd-Chiari syndrome complicating her CD. She was managed with anticoagulants, specifically Direct oral anticoagulants (DOACs).