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Spontaneous hepatic rupture in a bodybuilder: a case report and review of the literature.
Rev Esp Enferm Dig 2018; 110(4):254-256RE

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.

Authors+Show Affiliations

Dipartimento di Chirurgia Generale e Specialistica, Azienda Ospedaliera Policlinico Umberto I, Italia.Dipartimento di Chirurgia Generale e Specialistica, Azienda Ospedaliera Policlinico Umberto I.Dipartimento di Chirurgia Generale e Specialistica, Azienda Ospedaliera Policlinico Umberto I.Dipartimento di Chirurgia Generale e Specialistica, Azienda Ospedaliera Policlinico Umberto I.Dipartimento di Chirurgia Generale e Specialistica, Azienda Ospedaliera Policlinico Umberto I.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29313696

Citation

Mascagni, Pietro, et al. "Spontaneous Hepatic Rupture in a Bodybuilder: a Case Report and Review of the Literature." Revista Espanola De Enfermedades Digestivas : Organo Oficial De La Sociedad Espanola De Patologia Digestiva, vol. 110, no. 4, 2018, pp. 254-256.
Mascagni P, Melandro F, Larghi Laureiro Z, et al. Spontaneous hepatic rupture in a bodybuilder: a case report and review of the literature. Rev Esp Enferm Dig. 2018;110(4):254-256.
Mascagni, P., Melandro, F., Larghi Laureiro, Z., Mennini, G., & Rossi, M. (2018). Spontaneous hepatic rupture in a bodybuilder: a case report and review of the literature. Revista Espanola De Enfermedades Digestivas : Organo Oficial De La Sociedad Espanola De Patologia Digestiva, 110(4), pp. 254-256. doi:10.17235/reed.2017.5103/2017.
Mascagni P, et al. Spontaneous Hepatic Rupture in a Bodybuilder: a Case Report and Review of the Literature. Rev Esp Enferm Dig. 2018;110(4):254-256. PubMed PMID: 29313696.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spontaneous hepatic rupture in a bodybuilder: a case report and review of the literature. AU - Mascagni,Pietro, AU - Melandro,Fabio, AU - Larghi Laureiro,Zoe, AU - Mennini,Gianluca, AU - Rossi,Massimo, PY - 2018/1/10/pubmed PY - 2018/10/12/medline PY - 2018/1/10/entrez SP - 254 EP - 256 JF - Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva JO - Rev Esp Enferm Dig VL - 110 IS - 4 N2 - 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. SN - 1130-0108 UR - https://www.unboundmedicine.com/medline/citation/29313696/Spontaneous_hepatic_rupture_in_a_bodybuilder:_a_case_report_and_review_of_the_literature L2 - https://www.reed.es/ArticuloFicha.aspx?id=2719&hst=0&idR=59&tp=1 DB - PRIME DP - Unbound Medicine ER -