Human echinococcosis remains a complex problem that affects several organs. Hydatid disease mainly (85%) affects liver as well as lung, and 10% the rest of the body. Renal involvement is about 2% while skin hydatidosis is nearly 1%. Coincidental involvement of kidney and skin is very rare. We report a 51 year-old female patient with renal and skin (chest wall) hydatid lesions that were excised radically and the diagnosis of hydatidosis was confirmed histologically in EMAM REZA Hospital, Tehran in 2007. For treatment albendazol 400 mg BID was chosen, followed by monthly inspection of liver and CBC control up to six months. The case did not show any sign of recurrence in 24 months of following up.