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Article: Ketamine-related urological complications: radiological features

TitleKetamine-related urological complications: radiological features
Authors
KeywordsCystitis
Hydronephrosis
Ketamine
Substance-related disorders
Urologic diseases
Issue Date2012
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.hkjr.org
Citation
Hong Kong Journal of Radiology, 2012, v. 15 n. 1, p. 4-9 How to Cite?
AbstractObjective: To describe the radio graphical features of patients with ketamine-related urological complications. Methods: All ketamine users who presented to the Urology Division of our hospital during June 2006 to July 2009 were included in this study. Investigations including renal function test, ultrasound, intravenous urogram, micturating cysto-urethrogram, antegrade pyelogram, renal scintigraphy, and computed tomography were performed as appropriate. Their medical records, radiological reports, and corresponding images were reviewed. Results: A total of 36 patients were included in this study, in which 19% had bilateral hydronephrosis, 8% had unilateral hydronephrosis, and 72% of the patients had no hydronephrosis. Moreover, 6% of the patients with bilateral hydronephrosis had renal stones, and 6% had increased renal parenchymal echogenicity on ultrasound; 11% of patients had episodic or continuously elevated serum creatinine levels. Bilateral ureteral narrowing was demonstrated in 14% of the patients, and features of cystitis were documented in 39%. Bladder stones were detected in 6% of patients, and 11% had a percutaneous nephrostomy. Conclusion: Ketamine abuse can lead to irreversible damage to the urinary tract, causing cystitis, urinary tract stones, hydronephrosis, renal parenchymal disease, and renal failure. Radiological investigations such as ultrasound and intravenous urogram have an important role in the assessment of these complications. Percutaneous nephrostomy offers relief of significant urinary tract obstruction. © 2012 Hong Kong College of Radiologists.
Persistent Identifierhttp://hdl.handle.net/10722/149156
ISSN
2015 SCImago Journal Rankings: 0.113

 

DC FieldValueLanguage
dc.contributor.authorYeung, JTHen_US
dc.contributor.authorMa, JKFen_US
dc.contributor.authorKwok, KKMen_US
dc.contributor.authorYung, AWTen_US
dc.contributor.authorCheng, RLFen_US
dc.contributor.authorTo, KCen_US
dc.contributor.authorYiu, MKen_US
dc.date.accessioned2012-06-22T06:27:02Z-
dc.date.available2012-06-22T06:27:02Z-
dc.date.issued2012en_US
dc.identifier.citationHong Kong Journal of Radiology, 2012, v. 15 n. 1, p. 4-9en_US
dc.identifier.issn2223-6619-
dc.identifier.urihttp://hdl.handle.net/10722/149156-
dc.description.abstractObjective: To describe the radio graphical features of patients with ketamine-related urological complications. Methods: All ketamine users who presented to the Urology Division of our hospital during June 2006 to July 2009 were included in this study. Investigations including renal function test, ultrasound, intravenous urogram, micturating cysto-urethrogram, antegrade pyelogram, renal scintigraphy, and computed tomography were performed as appropriate. Their medical records, radiological reports, and corresponding images were reviewed. Results: A total of 36 patients were included in this study, in which 19% had bilateral hydronephrosis, 8% had unilateral hydronephrosis, and 72% of the patients had no hydronephrosis. Moreover, 6% of the patients with bilateral hydronephrosis had renal stones, and 6% had increased renal parenchymal echogenicity on ultrasound; 11% of patients had episodic or continuously elevated serum creatinine levels. Bilateral ureteral narrowing was demonstrated in 14% of the patients, and features of cystitis were documented in 39%. Bladder stones were detected in 6% of patients, and 11% had a percutaneous nephrostomy. Conclusion: Ketamine abuse can lead to irreversible damage to the urinary tract, causing cystitis, urinary tract stones, hydronephrosis, renal parenchymal disease, and renal failure. Radiological investigations such as ultrasound and intravenous urogram have an important role in the assessment of these complications. Percutaneous nephrostomy offers relief of significant urinary tract obstruction. © 2012 Hong Kong College of Radiologists.-
dc.languageengen_US
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.hkjr.org-
dc.relation.ispartofHong Kong Journal of Radiologyen_US
dc.rightsHong Kong Journal of Radiology. Copyright © Hong Kong Academy of Medicine Press.-
dc.subjectCystitis-
dc.subjectHydronephrosis-
dc.subjectKetamine-
dc.subjectSubstance-related disorders-
dc.subjectUrologic diseases-
dc.titleKetamine-related urological complications: radiological featuresen_US
dc.typeArticleen_US
dc.identifier.emailYiu, MK: pmkyiu@hku.hken_US
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.scopuseid_2-s2.0-84861733367-
dc.identifier.hkuros200218en_US
dc.identifier.volume15en_US
dc.identifier.issue1-
dc.identifier.spage4en_US
dc.identifier.epage9en_US
dc.publisher.placeHong Kong-

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