“…Hydatid cysts are seldom primary in other organs, and they are often part of generalized disease. Involvement of the pelvis in hydatid disease is reported to be ≤2% (2-5). In female, genital organs are reported to be the most affected areas in pelvis which can be attributed to their relatively ample bloodstream and true invasions from connective tissue of peritoneum of Douglas and suspensory ligaments (2, 6) Pelvic hydatid disease can be presented with vague abdominal pains due to irritation, swelling, menstrual irregularities, infertility and pressure symptoms involving the adjacent organs (bladder, ureters, rectum and vascular structures) (2, 4, 7-9).…”