Hydatid bilio-bronchial fistula (HBBF) is a rare complication but serious because it is responsible for lesions at three levels: abdominal, biliary, and thoracic, with high perioperative mortality. We reported the case of an HBBF, who had surgical resection of the Hydatid Cyst of the Liver that was complicated by HBBF which was managed by an endoscopic sphincterotomy with the placement of a biliary stent with a good evolution and healing of the bilio-bronchial fistula. Through this case and a review of the literature, endoscopic seems to be an effective and safe treatment option for postoperative Hydatid bilio-bronchial fistula.