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Ecstasy (3,4 methylenedioxymethamphetamine, MDMA), is an amphetamine derivative. It is a very popular, widely misused substance which is especially used in recreational places. Emergency visits have increased because of its effect causing addiction, misuse and toxicity. Pneumomediastinum is a rare and usually benign condition that affects young adult men. Patients rarely show symptoms and detected by coincidence. A 22-year-old male patient was admitted to the emergency department with complaints of waking anxiety, neck pain, palpitations and shortness of breath. In his PA chest x-ray, subcutaneous emphysema was observed. His computed tomography image was compatible with pneumomediastinum. The use of Ecstasy in the world and in our country increases and the complications associated with its use increase in line with it. Therefore, caution should be exercised against its complications.

     

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