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Hydatid cyst of liver and kidney co-exist very rarely. We present a case of synchronous hydatid cyst in the kidney and liver which was symptomatic. The patient underwent partial nephrectomy and pericystectomy of liver hydatid cyst. She had a good outcome postoperatively. Thus Echinococcus granulosis can affect any organ in the body and a high suspicion of this disease is justified in a cystic neoplasm of any organ, especially in endemic regions.


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