959 Edited1.pdf 912 | Bladder Calcification Secondary to Ketamine Thomas Jenyon,1 Graham Sole2 Keywords: INTRODUCTION K(1) - (3,4) - CASE REPORT - Corresponding Author: Thomas Jenyon, MRCP; MBBS; BSc; PCME Hereford County Hospital, Hereford, HR1 2ER, UK Tel: +44 143 235 5444 Fax: +44 014 323 44061 E-mail: tomjenyon@hotmail.com Received April 2011 Accepted May 2011 1 Birmingham University, West Midlands Deanary, UK 2 Hereford County Hospital, UK CASE REPORT Case Report 913Vol. 10 | No. 2 | Spring 2013 |U R O LO G Y J O U R N A L Bladder Calcification Secondary to Ketamine | Jenyon and Sole - - - - DISCUSSION - Figure 1. Computed tomography scan showing bladder calcifi- cation. Figure 2. Bladder calcification at cystoscopy. Figure 3. Histology showing focal calcification and total ulcera- tion of urothelium (×20). 914 | Case Report - - - lief (11) - ACKNOWLEDGEMENTS - CONFLICT OF INTEREST REFERENCES 1. Sinner B, Graf BM. Ketamine. Handb Exp Pharmacol. 2008;313-33. 2. Statistics on drug misuse: England, 2009. England: The Health and Social Care Information Centre; 2009:8. 3. Chu PS, Kwok SC, Lam KM, et al. 'Street ketamine'-associat- ed bladder dysfunction: a report of ten cases. Hong Kong Med J. 2007;13:311-3. 4. Shahani R, Streutker C, Dickson B, Stewart RJ. Ketamine- associated ulcerative cystitis: a new clinical entity. Urology. 2007;69:810-2. 5. Colebunders B, Van Erps P. Cystitis due to the use of keta- mine as a recreational drug: a case report. J Med Case Rep. 2008;2:219. 6. Chu PS, Ma WK, Wong SC, et al. The destruction of the lower urinary tract by ketamine abuse: a new syndrome? BJU Int. 2008;102:1616-22. 7. Oxley JD, Cottrell AM, Adams S, Gillatt D. Ketamine cystitis as a mimic of carcinoma in situ. Histopathology. 2009;55:705-8. 8. Lo RS, Krishnamoorthy R, Freeman JG, Austin AS. Cholesta- sis and biliary dilatation associated with chronic ketamine abuse: a case series. Singapore Med J. 2011;52:e52-5. 9. Wong SW, Lee KF, Wong J, Ng WW, Cheung YS, Lai PB. Dilated common bile ducts mimicking choledochal cysts in ketamine abusers. Hong Kong Med J. 2009;15:53-6. 10. Sigtermans MJ, van Hilten JJ, Bauer MC, et al. Ketamine produces effective and long-term pain relief in patients with Complex Regional Pain Syndrome Type 1. Pain. 2009;145:304-11. 11. Agarwal A, Gupta D, Kumar M, Dhiraaj S, Tandon M, Singh PK. Ketamine for treatment of catheter related bladder discomfort: a prospective, randomized, placebo controlled and double blind study. Br J Anaesth. 2006;96:587-9.