Chylothorax linked to goiter solved by transcervical total thyroidectomy without sternotomy Quilotorax provocado por un bocio resuelto mediante tiroidectomía total con abordaje cervical sin esternotomía

Chylothorax due to goiter is an exceptional compressive complication; compressive goiter usually causes narrowing of the trachea and compression of the esophagus or jugular vein. Because of anatomical relationship, right-side chylothorax is caused by a very large and low-lying goiter. In those cases usually the surgical approach is a sternotomy instead of transcervical thyroidectomy, that is associated with more surgical complication. We describe the case of an 85-year-old woman, with a chylothorax caused by a large substernal goiter compressing the trachea and the thoracic duct, solved by a transcervical thyroidectomy without the need for neither sternotomy nor thoracic duct repair.