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Spontaneous hepatic rupture in a bodybuilder: a case report and review of the literatura
Mascagni, Pietro; Melandro, Fabio; Larghi Laureiro, Zoe; Mennini, Gianluca; Rossi, Masimo.
Afiliação
  • Mascagni, Pietro; Azienda Ospedaliera Universitaria Policlinico Umberto I. Department of General and Specialistic Surgery Paride Stefanini. Rome. Italy
  • Melandro, Fabio; Azienda Ospedaliera Universitaria Policlinico Umberto I. Department of General and Specialistic Surgery Paride Stefanini. Rome. Italy
  • Larghi Laureiro, Zoe; Azienda Ospedaliera Universitaria Policlinico Umberto I. Department of General and Specialistic Surgery Paride Stefanini. Rome. Italy
  • Mennini, Gianluca; Azienda Ospedaliera Universitaria Policlinico Umberto I. Department of General and Specialistic Surgery Paride Stefanini. Rome. Italy
  • Rossi, Masimo; Azienda Ospedaliera Universitaria Policlinico Umberto I. Department of General and Specialistic Surgery Paride Stefanini. Rome. Italy
Rev. esp. enferm. dig ; 110(4): 254-256, abr. 2018. ilus
Artigo em Inglês | IBECS | ID: ibc-174602
Biblioteca responsável: ES1.1
Localização: BNCS
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
RESUMEN
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Assuntos
Texto completo: Disponível Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Peliose Hepática / Ruptura / Substâncias para Melhoria do Desempenho / Fígado Tipo de estudo: Estudo prognóstico Limite: Adulto / Humanos / Masculino Idioma: Inglês Revista: Rev. esp. enferm. dig Ano de publicação: 2018 Tipo de documento: Artigo Instituição/País de afiliação: Azienda Ospedaliera Universitaria Policlinico Umberto I/Italy
Texto completo: Disponível Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Peliose Hepática / Ruptura / Substâncias para Melhoria do Desempenho / Fígado Tipo de estudo: Estudo prognóstico Limite: Adulto / Humanos / Masculino Idioma: Inglês Revista: Rev. esp. enferm. dig Ano de publicação: 2018 Tipo de documento: Artigo Instituição/País de afiliação: Azienda Ospedaliera Universitaria Policlinico Umberto I/Italy
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