[Pneumomediastinum induced by sniffed cocaine]. / Pneumomediastinum efter snifning af kokain.

ABSTRACT

The increasing availability and use of cocaine stresses the importance that physicians are aware of the medical complications of the abuse. This case report describes a 24 year-old man who got chest pain after the snorting of 6 g of cocaine. A chest X-ray revealed a pneumomediastinum, which was confirmed by a computed tomography of the thorax. Pneumomediastinum secondary to cocaine insufflations is described as a benign condition. Adequate therapy is painkillers and observation, when life-threatening condition such as oesophageal rupture is excluded.