Chylous fistula is a well-recognized complication of neck dissection, occurring in 1% to 2% of cases. 1 Cardiopulmonary complications, on the other hand, are rare. Bilateral chylothorax is an extremely rare occurrence following neck dissection. Severe respiratory, metabolic, and immunologic derangements can occur secondary to chylothorax. We report a case of bilateral chylothorax after neck dissection and cervical thoracic duct ligation.
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