Spontaneous hepatic rupture in a bodybuilder: a case report and review of the literature

Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva
Pietro MascagniMassimo Rossi

Abstract

This article is the first description of a spontaneous hepatic rupture in a young bodybuilder with a history of clenbuterol and ephedrine alkaloid use. The patient presented with a sudden mid-epigastric pain and vomiting. Hemoglobin levels decreased a few hours later and a computed tomography scan was performed which revealed a rupture of the right liver capsule and hemoperitoneum. Two attempts at transarterial embolization did not control the bleeding and a right hemihepatectomy was performed. The pathological report identified a hepatic adenoma, a capsular tear and diffuse peliosis hepatis. The patient was discharged in a good condition after eleven days. Spontaneous hepatic ruptures are rare and life-threatening and are usually described in association with tumors, connective tissue diseases and gestosis. This article is a review of the available literature with regard to this condition, with a focus on its relation to peliosis hepatis and banned substance used by body image fanatics. The present case highlights the challenging diagnosis of this potentially fatal liver complication in a healthy appearing male, the risk associated with the online trade of performance enhancing drugs and its relation with peliosis hepatis.

References

Mar 1, 2005·Forensic Science International : Synergy·Michael Tsokos, Andreas Erbersdobler
May 16, 2013·World Journal of Gastroenterology : WJG·Wei PanChang-Yue Zheng
Jul 13, 2013·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Henry A SpillerDouglas J Borys
Jul 22, 2014·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Victor J NavarroRaj Vuppalanchi
Aug 8, 2015·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Sanket SrinivasaJonathan B Koea
Sep 17, 2015·Reviews in Endocrine & Metabolic Disorders·Eberhard Nieschlag, Elena Vorona
Dec 18, 2015·World Journal of Gastroenterology : WJG·Daniele CrocettiGian Luca Grazi

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Citations

Dec 5, 2018·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·José Barquín YágüezJuan Carlos García Pérez
Jul 27, 2021·World Journal of Clinical Cases·Si-Xie RenXi-E Zhang

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