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Correspondence
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Volume 340:1123-1124 April 8, 1999 Number 14
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Large Hepatic Hematoma and Intraabdominal Hemorrhage Associated with Abuse of Anabolic Steroids

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by Gross, P. T.
To the Editor: Hepatocellular neoplasms, peliosis hepatis, and hepatic necrosis have been reported to be complications of long-term therapy with androgenic anabolic steroids.1 We report a case of a large subcapsular hepatic hematoma and subsequent intraabdominal hemorrhage associated with the abuse of anabolic steroids by a bodybuilder.

A 24-year-old man was admitted to the hospital with right-upper-quadrant pain, mild tachycardia, hypertension, and oliguria. The patient reported a 23-month history of polydrug abuse to enhance the results of his bodybuilding exercises. He had been taking mesterolone (50 mg) daily and nandrolone (400 mg), clomiphene (50 mg), and chorionic gonadotropin (1250 IU) . . . [Full Text of this Article]

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