Ketamine-induced cystitis: A case report and literature review.
Radiology case reports December 1, 2024 Juan Felipe Betancur, Melina González Diaz Granados, Nancy Toro et al. 3 citations
Chronic recreational ketamine use can cause ketamine-induced cystitis, a condition marked by bladder and ureter thickening, hematuria, and pelvic pain. A 46-year-old man with HIV who used ketamine daily for 7 months presented with hypogastric pain and blood in urine. CT scans showed irregular thickening of both ureters, dilated kidney drainage tubes, and a thickened bladder wall. Procedures confirmed the diagnosis, and treatment—stopping ketamine, pain management, and psychiatric and urological support—led to symptom improvement. The case underscores the need to recognize urinary tract damage from ketamine and to use a multidisciplinary care approach.