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Spontaneous Pneumomediastinum and Subcutaneous Emphysema following Cocaine Inhalation and Ecstasy Ingestion

2019; Hindawi Publishing Corporation; Volume: 2019; Linguagem: Inglês

10.1155/2019/6972731

2090-6765

Samantha L. Jaensch, Sang Won Hwang, Tony Shih‐Wei Kuo,

Trauma Management and Diagnosis

Spontaneous pneumomediastinum (SPM) and subcutaneous emphysema are rare complications of illicit drug abuse. Thorough history, examination, and investigations are required to rule out fatal complications such as oesophageal perforation. We present a case of a 21-year-old male presenting with pleuritic chest pain one day after cocaine inhalation and ingesting ecstasy. Conservative supportive management is appropriate when this occurs spontaneously without radiological evidence of visceral perforation.