Medical Must-See: How this patient popped his lung might just be a world first

'If you don't stop that, you’ll go... breathless'? A new variation on the old wives' tale

A little 'self-care' ended in a night in intensive care for an unfortunate 20-year-old.

CT chest frontal mediastinal

Diagnosed with spontaneous pneumomediastinum and profound subcutaneous emphysema, he denied all the usual suspects: smoking, drug use, violent coughing, heavy exercise, excessive vomiting or Valsalva manoeuvre.

But he reported that sudden-onset sharp chest pain and dyspnoea occurred “while lying in bed masturbating".

His medical history included mild non-acute asthma and ADHD.

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