Thyroglossal duct are the most common congenital neck masses followed by branchial cleft anomalies. Thyroglossal duct cysts are 3 times more common than branchial cleft anomalies.It is extremely rare to find the coexistence on the above two anomalies in the same individual which is presented in the case report. The purpose of this article is to report the simultaneous rare coexistence of 2 congenital cervical anomalies and describe its clinical features and management of such anomalies.

Keywords: Simultaneous Branchial Fistula; Thyroglossal Cyst.