Hydatid disease is a worldwide medical problem (1). The liver is reported to be the most frequently involved organ and intraperitoneal or intrapleural rupture, biliary and bronchial fistula, or secondary bacterial infection are possible complications. Surgical treatment of a fistula between the hydatid cyst and the biliary tract and bronchi is effective but has a mortality and a morbidity rate of 2.2 and 23.7%, respectively (2). Although nonsurgical treatment methods such as percutaneous, endoscopic, and medical procedures and combinations of these have been novel for the last two decades (3–5), surgery is still the treatment of choice in complicated hydatid cysts (6). Herein, we reported a patient with a bronchobiliary fistula due to hydatid disease that was successfully managed by endoscopic and percutaneous approaches.