Introduction: Tube thoracostomy is one of the most commonly performed procedure in the thoracic region. It is an invasive procedure and many complications have been reported for this commonly done procedure, which can be due to either technical or infective etiology. We report a case of pleurocutaneous fistula which developed as a complication of tube thoracostomy put for as a complication of an abdominal surgery. Pleurocutaneous fistula is one of the rare complication reported post tube thoracostomy.