Esophago-pleural fistula is a rare condition with high morbidity and mortality with non- specific signs and symptoms. Main causes arepost -surgical, endoscopic procedures, secondary to tumors, from chemical injury (ingestion of corrosive substance), due to esophageal TB or spontaneous(rare). Here, we report a patient first presenting as right hydropneumothorax who was diagnosed to have esophago-pleural fistula on further investigation. Patient was planned for surgical repair but died before it since the patient developedsepsisdue to delayed diagnosis and treatment.