Chronic biliary colic associated with ketamine abuse
| Autor: | Yahya A Al-Abed, Ahmed Al-Nowfal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Common bile duct ketamine business.industry Nausea General surgery gastroenterology Case Report General Medicine Gallstones acalculous gallstones Hepatology Biliary colic Gallbladder Stone medicine.disease Malaise Biliary disease medicine.anatomical_structure biliary disease Internal medicine hepatology medicine substance abuse medicine.symptom business |
| Zdroj: | International Medical Case Reports Journal |
| ISSN: | 1179-142X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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