Ischemic necrosis of gastric tube due to intercostal drainage tube causing delayed gastropleural fistula – Rare case report

Gastropleural fistula is a rare complication of a number of disease processes, much less as a reported complication of pressure necrosis of a drainage tube. We present a patient of carcinoma esophagus having developed such a posttransthoracic esophagectomy complication with cervical esophagogastric anastomosis due to the ischemic pressure necrosis due to the tip of the normally place intercostal drainage tube on the gaseous distended stomach tube.