Recreational ketamine-induced cholangiopathy and ulcerative cystitis.

David M Vu, Katerina Freyre, Oleg Opsha, Yekaterina Opsha

The American journal of emergency medicine 2021 Jul

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Ketamine is a versatile analgesic that has become an increasingly popular recreational drug. Chronic ketamine use has been found to cause biliary duct damage and bladder dysfunction. Ketamine-induced cholangiopathy and ulcerative cystitis are uncommon diagnoses presenting with nonspecific symptoms, creating diagnostic challenges for emergency physicians. We report a case of a teenage patient with the rare simultaneous presentation of ketamine-induced cholangiopathy and ulcerative cystitis. Due to increased recreational and chronic ketamine use, cases of ketamine-induced cholangiopathy and ulcerative cystitis are likely to rise with the increased knowledge, awareness, and reporting of these entities by radiologists and emergency physicians. Copyright © 2020 Elsevier Inc. All rights reserved.

Citation

David M Vu, Katerina Freyre, Oleg Opsha, Yekaterina Opsha. Recreational ketamine-induced cholangiopathy and ulcerative cystitis. The American journal of emergency medicine. 2021 Jul;45:682.e7-682.e9