{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:42:50Z","timestamp":1777448570546,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T00:00:00Z","timestamp":1669334400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Synthetic cannabinoids are a recreational drug that can cause toxicity with significant side effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case<\/jats:title>\n                    <jats:p>We report a 21-year-old incarcerated male with a delayed presentation of pneumothorax, pneumomediastinum, and pneumoperitoneum following synthetic cannabinoid use with altered mental status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case not only highlights the need to consider pneumothorax when evaluating synthetic cannabinoid toxicity but it also emphasizes a vulnerable population (incarcerated individuals at risk for trauma, substance use disorders, and mental illness) who are at risk for delayed medical care and poor follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348221142589","type":"journal-article","created":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T08:47:13Z","timestamp":1669366033000},"page":"4967-4969","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Subcutaneous Emphysema, Pneumothorax, Pneumomediastinum, and Pneumoperitoneum Following Synthetic Cannabinoid Toxicity in an Incarcerated Man"],"prefix":"10.1177","volume":"89","author":[{"given":"Zachary","family":"Gala","sequence":"first","affiliation":[{"name":"Department of Surgery, Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy","family":"Kravchenko","sequence":"additional","affiliation":[{"name":"Department of Surgery, Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsey","family":"Volk","sequence":"additional","affiliation":[{"name":"Department of Surgery, Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Praveen","family":"Chatani","sequence":"additional","affiliation":[{"name":"Department of Surgery, Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reema","family":"Kar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel L.","family":"Choron","sequence":"additional","affiliation":[{"name":"Department of Surgery, Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,11,25]]},"reference":[{"key":"bibr1-00031348221142589","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-228066"},{"key":"bibr2-00031348221142589","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(18)30052-5"},{"key":"bibr3-00031348221142589","doi-asserted-by":"publisher","DOI":"10.1177\/1078345810366287"},{"key":"bibr4-00031348221142589","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000003614"}],"container-title":["The American 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