Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 50 12 2012 12 15 839 842 EN Murat Bozkurt Department of Obstetrics and Gynecology, Universal Hospital Group, Malatya, Turkey. Duygu Kara Bozkurt Department of Radiology, Yeditepe University, Istanbul Turkey. Ahmet Said ÇİL Department of Radiology, Universal Hospital Group, Malatya, Turkey. Mehmet Karaman Department of Pathology, Haydarpasa Trainining Hospital Gulhane Military Medical Academy, Istanbul, Turkey. 2015 09 28 We report a case of 48-year-old woman with multiple hydatid cysts in pararectal region and right paraovarian localization with an unusual sonographic and computed tomographic presentation mimicking a pelvic endometriosis. During laparotomy, multiple pararectal and right ovarian cysts resembling endometriosis were resected. Pathologic examination gives the diagnosis of hydatid cysts. Retrospectively, we investigate the primary infection but the patient had no history of hepatic and liver involvement, it is a case of primary infection. https://acta.tums.ac.ir/index.php/acta/article/view/4005 https://acta.tums.ac.ir/index.php/acta/article/download/4005/3980