Gastropleural fistula is a rare condition that occurs as a consequence of various thoraco-abdominal
surgical procedures and septic conditions. The diagnosis is difficult, it needs a high index of suspicion and
appropriate investigations. There are no previous reports of a patient developing a fistula after a splenectomy
procedure. The authors report a twelve-year old boy who developed gastropleural fistula following thoracoabdominal
surgery, a splenectomy. The patient presented with the clinical condition of chronic empyema
thoracis and responded well to medical and surgical treatment.

Keywords: Gastropleural fistula, Splenectomy, Tuberculosis