Year 2018 / Volume 110 / Number 4
Case Report
Spontaneous hepatic rupture in a bodybuilder: a case report and review of the literature

254-256

DOI: 10.17235/reed.2017.5103/2017

Pietro Mascagni, Fabio Melandro, Zoe Larghi Laureiro, Gianluca Mennini, Massimo 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.
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Mascagni P, Melandro F, Larghi Laureiro Z, Mennini G, Rossi M. Spontaneous hepatic rupture in a bodybuilder: a case report and review of the literature. 5103/2017


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Publication history

Received: 04/06/2017

Accepted: 06/12/2017

Online First: 09/01/2018

Published: 02/04/2018

Article revision time: 181 days

Article Online First time: 219 days

Article editing time: 302 days


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