Summary

A 37-year-old woman presented with a chief complaint of fecoptysis since 1 month. She belongs to low socio-economic status. There was no history of pulmonary tuberculosis or trauma.With the help of radiological findings, the authors were able to establish this rare diagnosis ‘right-sided diaphragmatic hernia complicated with broncho-pleuro-colonic fistula presenting as fecoptysis’. Diaphragmatic hernia is a common finding in day to day practice. Fistula between bowel loops and other viscera are also common entity, but fistula between pulmonary air-way passage and colon is a rare finding. Right-sided broncho-pleuro-colonic fistula is an extremely rare entity among these conditions.