• Am J Emerg Med · Jul 2021

    Case Reports

    Recreational ketamine-induced cholangiopathy and ulcerative cystitis.

    • David M Vu, Katerina Freyre, Oleg Opsha, and Yekaterina Opsha.
    • Maimonides Medical Center, Department of Radiology, 4802 10th Avenue, Brooklyn, New York 11219, United States of America. Electronic address: dvu@maimonidesmed.org.
    • Am J Emerg Med. 2021 Jul 1; 45: 682.e7-682.e9.

    AbstractKetamine 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.

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