en عمومى General گزارش مورد case report 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. 0 0 http://intjmi.com/browse.php?a_code=A-10-1-28&slc_lang=en&sid=1 Derya öztürk 1003194753284600887 1003194753284600887 No Şişli Etfal Training and Research Hospital, Emergency Medicine Clinic, Istanbul, Turkey Ertuğrul Altınbilek 1003194753284600888 1003194753284600888 No Şişli Etfal Training and Research Hospital, Emergency Medicine Clinic, Istanbul, Turkey Murat Koyuncu 1003194753284600889 1003194753284600889 No Şişli Etfal Training and Research Hospital, Emergency Medicine Clinic, Istanbul, Turkey Hatice Özdemir 1003194753284600890 1003194753284600890 No Şişli Etfal Training and Research Hospital, Emergency Medicine Clinic, Istanbul, Turkey İbrahim ikizceli 1003194753284600891 1003194753284600891 No Şişli Etfal Training and Research Hospital, Emergency Medicine Clinic, Istanbul, Turkey Bedriye Müge Sönmez 1003194753284600892 1003194753284600892 No Numune Training and Research Hospital, Emergency Medicine Clinic, Ankara, Turkey Cemil Kavalci 1003194753284600893 1003194753284600893 Yes Baskent University Faculty of Medicine, Emergency Department, Ankara, Turkey