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Fatal Liver Cyst Rupture Due to Anabolic Steroid Use: A Case Presentation.

Patrick Hansma1, Francisco J Diaz, Chantel Njiwaji

  • 1From the *William Beaumont Hospital, Royal Oak, and †Office of the Wayne County Medical Examiner, Detroit, MI.

The American Journal of Forensic Medicine and Pathology
|December 26, 2015
PubMed
Summary

Fatal liver cyst rupture is a rare event, but anabolic steroid use may increase this risk. This case highlights a potential link between stanozolol and life-threatening hemorrhagic liver cysts.

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Area of Science:

  • Hepatology
  • Toxicology
  • Pathology

Background:

  • Liver cysts are common, benign findings with diverse presentations and outcomes.
  • Potential complications include hemorrhage, infection, and obstruction.

Observation:

  • A rare case of fatal liver cyst rupture with hemoperitoneum is presented.
  • The patient had a history of anabolic steroid (stanozolol) use.

Findings:

  • Anabolic steroid use, specifically stanozolol, is a potential, albeit rare, risk factor for hemorrhagic liver cyst rupture.
  • This association is supported by limited but significant case reports.

Implications:

  • Clinicians should consider anabolic steroid use in the differential diagnosis of liver cyst complications.
  • Further research is warranted to elucidate the mechanisms linking anabolic steroids to liver cyst pathology.