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BMJ Case Rep. 2015 Apr 9;2015. pii: bcr2014207652. doi: 10.1136/bcr-2014-207652.

Autotransplantation for the management of ketamine ureteritis.

Author information

1
Department of Urology, Guy's Hospital, London, UK.
2
Department of Urology, Guy's and St Thomas' Hospital, London, UK.
3
Department of Nephrology, Guy's and St Thomas' Hospital, London, UK.
4
Department of Renal Transplant, Guy's and St Thomas' Hospital, London, UK.

Abstract

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.

PMID:
25858923
PMCID:
PMC4401936
DOI:
10.1136/bcr-2014-207652
[Indexed for MEDLINE]
Free PMC Article

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