Congenital bronchobiliary and tracheobiliary fistula are rae disease, and 12 cases had been reported in the world literature. Now, we present a case of bronchobiliary fistula diagnosed in adult. A 24-year-old woman has been suffered from chronic cough accompaning yellowish sputum since her childhood and treated with antituberculous drugs intermittently under the impression of pulmonary tuberculosis. she admitted our hospital due to sudden dyspnea developed two months after delivery of her first baby. a diagnosis of bronchobiliary fistula could be made using series of radiologic studies, including plain films, esophagogram, hepatobiliary scan and chest CT.