Branchial arch anomalies are one of the most common congenital anomalies that are usually unilateral, bilateral presentation is rare.
We describe what we believe a rare reported clinical case of a 34-year-old man with coexisting first and second bilateral branchial
fistulas associated with no family history or associated syndrome.
Congenitalcervical anomalies are important to consider in the differential of head and neck masses in children and adults. These lesions can present as palpable cystic masses, infected masses, draining sinuses, or fistulae.