PMID- 18060653 OWN - NLM STAT- MEDLINE DCOM- 20081114 LR - 20211020 IS - 0009-4722 (Print) IS - 0009-4722 (Linking) VI - 79 IP - 7 DP - 2008 Jul TI - [Unusual cause of pneumomediastinum]. PG - 680-1 AB - The 3,4-methylenedioxy-N-methylamphetamine (MDMA) also known as ecstasy is a hallucinogen prevalently used by teenagers. Known complications of its consumption are hyperpyrexia, disseminated intravasal coagulation, acute kidney failure, and rhabdomyolysis. We report about an 18-year-old patient who developed a pneumomediastinum and skin emphysema by excluded lesions of the lung and respiratory tract. We present the hypothesis of the pathogenesis of this disease. The correct therapy is observation of the patient and maximum sedation. FAU - Faber, W AU - Faber W AD - Klinik und Poliklinik fur Allgemein-, Viszeral-, Thorax- und Gefasschirurgie, Medizinische Fakultat der Rheinischen Friedrich-Wilhelms-Universitat, Sigmund-Freud-Strasse 25, Bonn, Germany. wlfaber@gmx.net FAU - Hirner, A AU - Hirner A FAU - Kaminski, M AU - Kaminski M LA - ger PT - Case Reports PT - Journal Article TT - Ungewohnliche Ursache eines Pneumomediastinums. PL - Germany TA - Chirurg JT - Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen JID - 16140410R RN - 0 (Hallucinogens) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Administration, Inhalation MH - Adolescent MH - Diagnosis, Differential MH - Female MH - Hallucinogens/administration & dosage/*toxicity MH - Humans MH - Mediastinal Emphysema/*chemically induced/diagnostic imaging MH - N-Methyl-3,4-methylenedioxyamphetamine/administration & dosage/*toxicity MH - Subcutaneous Emphysema/chemically induced/diagnostic imaging MH - Tomography, X-Ray Computed EDAT- 2007/12/07 09:00 MHDA- 2008/11/15 09:00 CRDT- 2007/12/07 09:00 PHST- 2007/12/07 09:00 [pubmed] PHST- 2008/11/15 09:00 [medline] PHST- 2007/12/07 09:00 [entrez] AID - 10.1007/s00104-007-1442-1 [doi] PST - ppublish SO - Chirurg. 2008 Jul;79(7):680-1. doi: 10.1007/s00104-007-1442-1.