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Massive subcutaneous emphysema following routine endotracheal intubation
K. F. Watters, P. D. Lacy, R. McConn Walsh
Journal:

The Journal of Laryngology & Otology / Volume 117 / Issue 11 / November 2003

Published online by Cambridge University Press:

31 May 2006, pp. 899-901

Print publication:

November 2003
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Upper aerodigestive tract injury after endotracheal intubation is a rare but serious complication. The case of a 57-year-old female, who developed extensive neck and pneumomediastinum following a knee arthroscopy under general anaesthesia, is presented. Possible mechanisms of injury and management options are discussed.

Pneumomediastinum following Ecstasy (methylenedioxymetamphetamine, MDMA) ingestion in two people at the same ’rave’
Darius Rejali, Paul Glen, Nicholas Odom
Journal:

The Journal of Laryngology & Otology / Volume 116 / Issue 1 / January 2002

Published online by Cambridge University Press:

08 March 2006, pp. 75-76

Print publication:

January 2002
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Ecstasy is a class A controlled drug often consumed by the young population for recreational purposes. Documented complications of its use include hyperpyrexia, disseminated intravascular coagulation (DIC), renal failure and rhabdomyolysis. We report on two patients who developed pneumomediastinum after Ecstasy abuse. Both patients obtained and consumed the drug at the same establishment and presented to the same hospital within half an hour. The possible pathogenesis of this complication are discussed and the literature reviewed. Pneumomediastinum should be recognized as a possible complication of Ecstasy use. Conservative management is appropriate.