Congenital anomalies in the neck region are formed at birth, however, the resulting lump or complications related to them appear sometimes in later adult life. The thyroglossal duct cyst and branchial cleft cyst are the second most common congenital lesions.(1). Conversely, a synchronous presentation of thyroglassal cyst and branchial sinus in the same patient is really extraordinary and has not yet been reported to our knowledge. We report the first case of 44 year old adult patient with synchronous thyroglossal duct cyst and branchial sinus.
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