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To present an extraordinary and likely first case of secondary multiple intraabdominal hydatidosis, probably as a sequel to primary renal hydatid cyst surgery. A 34-year-old male who underwent a right nephrectomy four years ago for renal hydatidosis was admitted. His abdominopelvic computed tomography scan revealed the hypodense lesions adjacent to the anterior lobe of the liver, splenic hilus, right common iliac vein, and left paracolic area. He underwent the total surgical resection and the histopathologic evaluation revealed the hydatidosis (echinococcosis) and the medical therapy, Albendazole: 15 mg/kg/day, was administrated for three months. No recurrence has occurred after the clinical and radiologic follow-up. To the best of our knowledge, it is an extreme and first case of secondary multiple intraabdominal hydatidosis as a sequel to the primary renal echinococcosis surgery, in the English language literature. Providers should be aware of considering a primary focus as encountering multiple intraabdominal hydatidosis.

Secondary Multiple Intraabdominal Hydatidosis as Presumptive Sequelae of Primary Renal Echinococcosis: Clinical and Histopathologic Correlation