Chylothorax is a rare complication of blunt chest trauma and is associ
ated with fracture-dislocation of the thoracic spine in only 20% of th
ese cases. Two cases of chylothorax after blunt chest injury are descr
ibed in this paper; 1 was related to a fracture of the third thoracic
vertebra. Closed chest drainage and total parenteral nutrition led to
resolution of the condition within 3 weeks in both cases. In general,
traumatic chylothorax should be managed conservatively for at least 4
weeks before surgical intervention is considered.