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Published: 2026-08-25
Abstract Views: 23
DOI: https://doi.org/10.52163/yhc.v67iCD12.6285
Issue
Vol. 67 No. CĐ12- Bệnh viện Ung bướu Nghệ An
Section
Articles
How to Cite
Long, N. T., Long, N. T., Tuấn, T. Đức, Cường, Đặng M., My, T. N. T., Loan, T. T., Thảo, H. T. P., Quý, T. Q., Sĩ, B. T., Huy, H. T., & Hương, T. T. T. (2026). CASE REPORT: MULTIORGAN INJURY ASSOCIATED WITH KETAMINE ABUSE ON COMPUTED TOMOGRAPHY. Vietnam Journal of Community Medicine, 67(CĐ12- Bệnh viện Ung bướu Nghệ An). https://doi.org/10.52163/yhc.v67iCD12.6285

CASE REPORT: MULTIORGAN INJURY ASSOCIATED WITH KETAMINE ABUSE ON COMPUTED TOMOGRAPHY

Nguyen Tien Long1, Nguyen Tien Long1, Tran Duc Tuan1, Dang Manh Cuong1, Ton Nu Tra My1, Tran Thi Loan1, Hoang Thi Phuong Thao1, Truong Quang Quy1, Bui Tien Si1, Huynh Tuan Huy1, Tran Thi Thu Huong1
1 Vinmec Central Park International General Hospital

Main Article Content

Abstract

Background:Ketamine is a dissociative anesthetic that has been increasingly abused for recreational purposes. Ketamine-related urinary tract injury has been widely described; however, the presence of abnormalities involving multiple organs on computed tomography (CT) has not been fully reported in the literature.Case presentation:We report the case of a 34-year-old man who was admitted with prolonged fever, urinary frequency, and elevated liver enzymes.


Intervention and course:Contrast-enhanced CT demonstrated hepatomegaly, arterial-phase hepatic perfusion abnormalities, and multiple small scattered hypoattenuating lesions within the liver. Additional findings included intrahepatic bile duct wall thickening with fusiform dilation of the common bile duct, as well as a small-capacity urinary bladder with diffuse wall thickening. Other associated abnormalities included small bowel wall thickening and bilateral adrenal enlargement. Follow-up CT after treatment showed improvement in hepatic parenchymal lesions and reduced perfusion abnormalities.Conclusion:These findings suggest multiorgan involvement associated with chronic ketamine abuse and highlight the role of multiphasic CT in identifying associated abnormalities and supporting diagnostic orientation.

Article Details

Keywords

Ketamine; ketamine-induced cystitis; cholangitis; multi-organ inflammation; multiphasic computed tomography.

References

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