Open AccessPneumomediastinum, Surgical Emphysema and Pneumorrhachis after Insufflation of Ketamine
Author(s) -
Wong OF,
Kwan GWM,
Tsang PHK,
Lee HM,
Yip KH
Publication year - 2013
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490791302000108
Subject(s) - pneumomediastinum , medicine , ketamine , subcutaneous emphysema , complication , surgery , anesthesia , insufflation
We report a rare complication after ketamine abuse. A 26‐year‐old known ketamine abuser developed pneumomediastinum, extensive surgical emphysema and pneumorrhachis after ‘snorting’ ketamine. He also suffered from acute on chronic renal failure and liver function impairment due to ketamine use. His pneumomediastinum and subcutaneous emphysema resolved with conservative management. Pneumomediastinum is a well‐reported complication after illicit drug use, particularly smoking ‘crack’ cocaine. This case illustrates that such complication may also occur in ketamine abuse.