# Chronic Ketamine Toxicity Involving both Urinary and Hepatobiliary Systems

## TL;DR

This paper reports a case of chronic ketamine abuse causing both urinary and liver bile system damage in a young adult.

## Contribution

Highlights ketamine toxicity as a multisystem disorder affecting both urinary and hepatobiliary systems.

## Key findings

- Chronic ketamine abuse can cause uropathy and cholangiopathy simultaneously.
- Hepatobiliary manifestations of ketamine toxicity are under-recognized in clinical practice.

## Abstract

Chronic ketamine abuse is a well-recognized cause of lower urinary tract injury. Hepatobiliary manifestations are less frequently reported. A case is presented of concomitant ketamine-induced uropathy and cholangiopathy in a young adult. This underscores the importance of considering ketamine toxicity as a multisystem disorder.

Teaching point: Beyond the well-recognized urinary tract involvement, radiologists attention is drawn to hepatobiliary manifestations of chronic ketamine toxicity.