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Spontaneous esophageal-pleural fistula is a rare entity. The authors describe a case of 60-year-old male who presented with cough with expectoration, severe retrosternal chest pain and shortness of breath and vomiting. Computed tomography with oral contrast showed right esophageal-pleural fistula and hydro pneumothorax. He was managed conservatively keeping the chest tube drainage and nasogastric tube feeding.
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Mir et al. (2018) studied this question.
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