Bungee jumping is a dangerous sport with increasing popularity in the
western world. We report the case of a 28-yr-old man who sustained an
orbital emphysema as a result of bungee jumping. He jumped head first
from a 160-ft high bridge over a river. At the end of the jump he dive
d into the water with his head in a reclined position. The sudden dive
into the water caused an acute increase of the air pressure in the no
se and paranasal sinuses, which led to an emphysema of the right orbit
resulting from a skull fracture not detectable by x-ray. The patient
was treated with oral antibiotics. Five days later, he had no clinical
complaints and the ophthalmologic examination was normal. This variat
ion of bungee jumping may bear severe risk factors for health in addit
ion to those known from the classic jumps.