A 21-year-old man presented to the emergency department complaining of ill-defined anterior chest wall pain and discomfort for two days, after a drinking spree. The pain was aggravated by deep breathing. There was no history of recent trauma. There was no other symptom. He was healthy all along. His blood pressure was 123/60 mmHg, pulse rate 95 beats/ minute, respiratory rate 16 breaths/minute and oral temperature 36.4°C. The physical examination was essentially normal. There was no local tenderness of the chest wall. Chest X-ray was taken (Figure 1).

No abstract

A 33-year-old man developed spontaneous haemopneumothorax after taking ecstasy in a 'rave party'. Massive haemorrhage occurred after chest drainage and decompression. Both the adverse effects of ecstasy and risk behaviours at the party might have contributed to the development of the spontaneous haemopneumothorax.