Pancreatic localization of hydatid cysts is extremely rare, even in endemic regions, representing
less than 1% of all hydatid disease localizations. We report the case of a 20-year-old woman with
chronic epigastric pain and vomiting. Preoperative imaging suggested a pancreatic pseudocyst,
but intraoperative findings confirmed a hydatid cyst. Surgical treatment included dome resection,
epiploplasty, and drainage. Postoperative recovery was uneventful. This case highlights the diagnostic
challenges and surgical nuances of this unusual presentation.