An epiploic appendix torsion is a rare event that can lead to acute abdominal pain and occurs at any age. Chiropractic is a type of complementary medicine performed explicitly by spinal manipulations. In this report, we presented a case who developed acute abdominal pain after spinal manipulation.

Here we describe a 13- year old patient with the presentation of fever and abdominal pain. He had a history of 2 years headache and seizure. In MRI, a primary cerebral hydatid cyst was evident. The diagnosis of hydatid cyst should beconsidered in children with mentioned characters in endemic regions.