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Alveolar echinococcosis is a rare parasiter disease which caused by a taenia named Echinococcus multilocularis. Altough it is an enfectious disease, it has as malign character. Liver is the most effected member on this illness. After liver; lungs, kidneys, bone and brain are respectively effected. With experimental studies it is shown that peritoneal metastasis like lesions should occur by peritoneal spreading. In this article we aimed to call attention to this enfectious but malign behavioral disease by presenting an abdominal hydaditosis patient who was diagnosed and treated in our clinic.