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Case Report
A unique presentation of Ogilvie syndrome: Ketamine withdrawal
1 Department of Surgery, Berkshire Medical Center, Pittsfield, Massachusetts, United States
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Peter Foster
Department of Surgery, Berkshire Medical Center, 725 North Street, Warriner 3, Pittsfield, Massachusetts 01201,
United States
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Article ID: 100072Z12PF2020
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Foster P, Toia A, Bowling A. A unique presentation of Ogilvie syndrome: Ketamine withdrawal. J Case Rep Images Surg 2020;6:100072Z12PF2020.ABSTRACT
Introduction: Ogilvie syndrome is a well-defined gastrointestinal pathology that can be caused by underlying infection, medications, electrolyte imbalances, or surgery. However, there are additional precipitants that need to be elucidated. Here, we describe a case of a young adult male withdrawing from ketamine that subsequently developed a pseudo-obstruction.
Case Report: A healthy 19-year-old male who presented to our institution with nausea, vomiting, abdominal pain, and distention. Subsequent imaging showed diffuse dilatation of fluid-filled large and small bowel without mechanical obstruction, consistent with a diagnosis of pseudo-obstruction. Interestingly, the patient was an active ketamine user and described snorting the drug daily for almost one year. He was forced into a period of cessation after not being able to find the drug and later developed these symptoms.
Conclusion: With the increasing clinical use of the controlled substance as both an analgesic and sedative, more research is needed to help safely care for these patients. To our knowledge, this is the first described case of ketamine withdrawal precipitating an Ogilvie syndrome.
Keywords: Ketamine abuse, Ketamine withdrawal, Ogilvie syndrome, Pseudo-obstruction
SUPPORTING INFORMATION
Author Contributions
Peter Foster - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Alyssa Toia - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Adam Bowling - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Peter Foster et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
