Cynthia M. González-Cantú, General Surgery Service, School of Medicine, “Dr. Jose Eleuterio Gonzalez” University Hospital, Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
Yanko Castro-Govea, Plastic Surgery Service, School of Medicine, “Dr. Jose Eleuterio Gonzalez” University Hospital, Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
Pablo J. Moreno-Peña, School of Medicine. “Dr. Jose Eleuterio Gonzalez” University Hospital, Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
Carlos I. Valencia-Salgado, School of Medicine. “Dr. Jose Eleuterio Gonzalez” University Hospital, Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
Edson R. Marcos-Ramírez, General Surgery Service, School of Medicine, “Dr. Jose Eleuterio Gonzalez” University Hospital, Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
Jorge A. García-Garza, School of Medicine. “Dr. Jose Eleuterio Gonzalez” University Hospital, Universidad Autónoma de Nuevo Leon, Monterrey, Nuevo Leon, Mexico
Gerardo E. Muñoz-Maldonado, General Surgery, “Dr. José Eleuterio Gonzalez” University Hospital, Nuevo León, México

Chylothorax is the presence of chyle in the pleural space. In the literature, there are few cases of late chylothorax. We present the case of a male with late tension chylothorax, a management algorithm, and the results of a recent literature review and its correlation to the case. We report the case of a 52-year-old male patient with late tension chylothorax, secondary to a stab wound in zone 1 of the neck. Tension chylothorax represents an absolute emergency. The success of this management will hinge on the individualization of each particular case.

Keywords: Chylothorax. Pleural diseases. Thoracic duct. Trauma.