Recreational ketamine-induced cholangiopathy and ulcerative cystitis

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. (C) 2020 Elsevier Inc. All rights reserved.

Automated summary

Ketamine, a versatile analgesic, has become a popular recreational drug, with its chronic use linked to biliary duct damage and bladder dysfunction. The rare co-presentation of ketamine-induced cholangiopathy and ulcerative cystitis poses diagnostic challenges for emergency physicians. As knowledge and awareness of these conditions increase, cases of ketamine-induced cholangiopathy and ulcerative cystitis are expected to rise.