Case report identifies ketamine's effect on the common bile duct, suggesting cholangiopathy diagnosis.
A 26-year-old male with chronic ketamine use was admitted with abdominal pain and elevated infection numbers, and liver-function tests. An ultrasound of the upper abdomen showed a dilated common bile duct with no sign of gallbladder stones. A subsequent magnetic resonance cholangiopancreatography and endoscopic ultrasound found no explanation for the dilated common bile duct. This case report describes a presumed rare case of ketamine-induced cholangiopathy, an important differential diagnosis of otherwise unexplained cholangiopathy.
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Høybye et al. (2025) studied this question.
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