Title |
Chronic biliary colic associated with ketamine abuse
|
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Published in |
International Medical Case Reports Journal, June 2016
|
DOI | 10.2147/imcrj.s100648 |
Pubmed ID | |
Authors |
Ahmed Al-Nowfal, Yahya A Al-Abed |
Abstract |
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. 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. 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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 50% |
United Kingdom | 1 | 25% |
Unknown | 1 | 25% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 75% |
Practitioners (doctors, other healthcare professionals) | 1 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 26 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 4 | 15% |
Student > Bachelor | 3 | 12% |
Student > Master | 3 | 12% |
Student > Doctoral Student | 2 | 8% |
Researcher | 2 | 8% |
Other | 4 | 15% |
Unknown | 8 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 11 | 42% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 12% |
Unspecified | 1 | 4% |
Veterinary Science and Veterinary Medicine | 1 | 4% |
Engineering | 1 | 4% |
Other | 0 | 0% |
Unknown | 9 | 35% |