Concentrations of polycyclic aromatic hydrocarbons were assessed in a sediment core retrieved from Nutrias Lagoon, located within the Rocha Lagoon Protected Area along the SE Uruguayan coast. Using a 210Pb chronology, we reconstructed the historical accumulation of polycyclic aromatic hydrocarbons over the past 123 years (1895-2018). This study, the first of its kind in Uruguay, fills a research gap in understanding historical PAH accumulation and source changes. Our examination of dating, geochemical, and sedimentological data unveiled four main events, with minor instances in 1956±5 and 1964±4, and more significant occurrences in 1914±9 and 1997±2. Additionally, two prominent trend shifts were identified, one predating 1900 and the other in 1986±2. Before 1900, a dry spell was apparent, supported by all proxies, alongside a notable surge in heavy polycyclic aromatic hydrocarbons, likely attributed to fires during this arid period. Post-1986±2, a rise in sedimentation rates in the lagoon was observed, possibly due to increased rainfall. Also, the eutrophication of the lagoon over the years can be observed. Furthermore, a recent increase in polycyclic aromatic hydrocarbons influx at the core's surface was linked to the construction of a nearby lagoon bridge and associated roadwork. Our findings suggest that atmospheric deposition constitutes the primary source of polycyclic aromatic hydrocarbons in the lagoon, offering insights into its recent environmental history and basin dynamics. This study establishes a critical baseline for future research in the region and facilitates the development of effective and sustainable environmental management strategies.