Autotransplantation for the management of ketamine ureteritis.

Autor: Raison NT; Department of Urology, Guy's Hospital, London, UK., O'Brien T; Department of Urology, Guy's and St Thomas' Hospital, London, UK., Game D; Department of Nephrology, Guy's and St Thomas' Hospital, London, UK., Olsburgh J; Department of Renal Transplant, Guy's and St Thomas' Hospital, London, UK.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2015 Apr 09; Vol. 2015. Date of Electronic Publication: 2015 Apr 09.
DOI: 10.1136/bcr-2014-207652
Abstrakt: Ketamine-associated cystitis is a well-recognised syndrome; yet upper urinary tract involvement remains poorly understood. We present the case of a 33-year-old man who developed ketamine-associated cystitis and ureteritis. The patient's severe bladder symptoms required subtotal cystectomy and orthotopic reconstruction. However, the associated ureteritis led to bilateral ureteric obstruction and renal failure. Bilateral autotransplantation with pyelovesicostomy was performed. This first case of autotransplantation for ketamine uropathy helps to demonstrate the potentially devastating effects of ketamine on the urinary tract.
(2015 BMJ Publishing Group Ltd.)
Databáze: MEDLINE