Chronic biliary colic associated with ketamine abuse
Ahmed Al-Nowfal, Yahya A Al-Abed Department of Surgery, Southend University Hospital, Prittlewell Chase, Westcliff-on-Sea, Essex, UK Introduction: Biliary colic is a common clinical presentation, with the majority of cases being related to gallstone disease. However, rarely, patients may present wi...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2016-06-01
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| Series: | International Medical Case Reports Journal |
| Subjects: | |
| Online Access: | https://www.dovepress.com/case-report-chronic-biliary-colic-associated-with-ketamine-abuse-peer-reviewed-article-IMCRJ |
| _version_ | 1819018932652081152 |
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| author | Al-Nowfal A Al-Abed YA |
| author_facet | Al-Nowfal A Al-Abed YA |
| author_sort | Al-Nowfal A |
| collection | DOAJ |
| description | Ahmed Al-Nowfal, Yahya A Al-Abed Department of Surgery, Southend University Hospital, Prittlewell Chase, Westcliff-on-Sea, Essex, UK Introduction: Biliary colic is a common clinical presentation, with the majority of cases being related to gallstone disease. However, rarely, patients may present with biliary symptoms without evidence of gallbladder stones – referred to as acalculous gallstone disease. This case report details a rare case of chronic biliary colic associated with ketamine abuse. Case presentation: A 24-year-old Caucasian female presented to the emergency department with a history of intermittent right upper quadrant pain associated with nausea and malaise. She had experienced bouts of similar symptoms three times a year for the past 4 years. Various investigations had been conducted during her multiple admissions, which showed possible dilatation of the common bile duct, with no evidence of gallstones. Conclusion: Patients can present with a dilated common bile duct and an acalculous cholecystitis. This requires considerable investigation, with an emphasis on drug history, especially with the current rise of recreational hallucinogenic drug abuse. Keywords: gastroenterology, hepatology, substance abuse, ketamine, acalculous gallstones, biliary disease |
| first_indexed | 2024-12-21T03:27:17Z |
| format | Article |
| id | doaj.art-7e4eb33ac3a248df9a73169ba4965d27 |
| institution | Directory Open Access Journal |
| issn | 1179-142X |
| language | English |
| last_indexed | 2024-12-21T03:27:17Z |
| publishDate | 2016-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Medical Case Reports Journal |
| spelling | doaj.art-7e4eb33ac3a248df9a73169ba4965d272022-12-21T19:17:34ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2016-06-012016Issue 113513727253Chronic biliary colic associated with ketamine abuseAl-Nowfal AAl-Abed YAAhmed Al-Nowfal, Yahya A Al-Abed Department of Surgery, Southend University Hospital, Prittlewell Chase, Westcliff-on-Sea, Essex, UK Introduction: Biliary colic is a common clinical presentation, with the majority of cases being related to gallstone disease. However, rarely, patients may present with biliary symptoms without evidence of gallbladder stones – referred to as acalculous gallstone disease. This case report details a rare case of chronic biliary colic associated with ketamine abuse. Case presentation: A 24-year-old Caucasian female presented to the emergency department with a history of intermittent right upper quadrant pain associated with nausea and malaise. She had experienced bouts of similar symptoms three times a year for the past 4 years. Various investigations had been conducted during her multiple admissions, which showed possible dilatation of the common bile duct, with no evidence of gallstones. Conclusion: Patients can present with a dilated common bile duct and an acalculous cholecystitis. This requires considerable investigation, with an emphasis on drug history, especially with the current rise of recreational hallucinogenic drug abuse. Keywords: gastroenterology, hepatology, substance abuse, ketamine, acalculous gallstones, biliary diseasehttps://www.dovepress.com/case-report-chronic-biliary-colic-associated-with-ketamine-abuse-peer-reviewed-article-IMCRJGastroenterology and hepatologySubstance abuseKetamineacalculous gall stones and biliary disease. |
| spellingShingle | Al-Nowfal A Al-Abed YA Chronic biliary colic associated with ketamine abuse International Medical Case Reports Journal Gastroenterology and hepatology Substance abuse Ketamine acalculous gall stones and biliary disease. |
| title | Chronic biliary colic associated with ketamine abuse |
| title_full | Chronic biliary colic associated with ketamine abuse |
| title_fullStr | Chronic biliary colic associated with ketamine abuse |
| title_full_unstemmed | Chronic biliary colic associated with ketamine abuse |
| title_short | Chronic biliary colic associated with ketamine abuse |
| title_sort | chronic biliary colic associated with ketamine abuse |
| topic | Gastroenterology and hepatology Substance abuse Ketamine acalculous gall stones and biliary disease. |
| url | https://www.dovepress.com/case-report-chronic-biliary-colic-associated-with-ketamine-abuse-peer-reviewed-article-IMCRJ |
| work_keys_str_mv | AT alnowfala chronicbiliarycolicassociatedwithketamineabuse AT alabedya chronicbiliarycolicassociatedwithketamineabuse |