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Chronic biliary colic associated with ketamine abuse.

Ahmed Al-Nowfal1, Yahya A Al-Abed1

  • 1Department of Surgery, Southend University Hospital, Prittlewell Chase, Westcliff-on-Sea, Essex, UK.

International Medical Case Reports Journal
|June 23, 2016
PubMed
Summary

Chronic biliary colic, often linked to gallstones, can occur without them (acalculous gallstone disease). This case highlights ketamine abuse as a rare cause of biliary pain and common bile duct dilation.

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Area of Science:

  • Gastroenterology
  • Toxicology

Background:

  • Biliary colic is typically caused by gallstones.
  • Acalculous gallstone disease presents similar symptoms without gallstones.
  • Ketamine abuse is an emerging cause of gastrointestinal distress.

Observation:

  • A 24-year-old female experienced recurrent right upper quadrant pain, nausea, and malaise for four years.
  • Investigations revealed possible common bile duct dilation but no gallstones.
  • The patient had a history of ketamine abuse.

Findings:

  • The patient presented with symptoms of biliary colic and a dilated common bile duct.
  • No gallstones were found, indicating acalculous biliary disease.
  • Chronic ketamine abuse was identified as the likely underlying cause.
Keywords:
acalculous gallstonesbiliary diseasegastroenterologyhepatologyketaminesubstance abuse

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Implications:

  • Physicians should consider drug history, particularly recreational drug use, in patients with acalculous biliary disease.
  • Ketamine abuse can lead to significant gastrointestinal complications, including biliary tract issues.
  • Increased awareness of recreational hallucinogenic drug abuse is crucial for diagnosing rare causes of biliary colic.