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CC BY 4.0 · Journal of Gastrointestinal and Abdominal Radiology
DOI: 10.1055/s-0044-1787963
Case Report

Hepatic Peliosis and Hemorrhage after Anabolic Steroid Abuse

Kausthubh Hegde
1   Division of Interventional Radiology, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, United States
,
Patrick D. Sutphin
1   Division of Interventional Radiology, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, United States
,
Thomas J. An
1   Division of Interventional Radiology, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, United States
,
Sanjeeva P. Kalva
1   Division of Interventional Radiology, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, United States
› Author Affiliations Funding This research received no specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
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Abstract

Anabolic steroid abuse has become prevalent in modern society, with many athletes and bodybuilders using these substances for their performance-enhancing effects. A significant concern related to anabolic steroid abuse is the potential development of androgen-associated liver tumors such as hepatocellular carcinoma and adenomas. Anabolic steroid abuse has also been associated with hepatic vascular abnormalities like hepatic peliosis, a rare condition characterized by blood-filled cavities within the liver parenchyma. Hepatic peliosis can present with nonspecific symptoms or remain asymptomatic, making it difficult to diagnose without appropriate imaging studies. In this case report, the authors describe the imaging findings and management of two patients with intrahepatic bleeding associated with anabolic steroid consumption.

Keywords

adenoma - anabolic steroid abuse - hemorrhage - hepatic peliosis - liver


Publication History

Article published online:
26 June 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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