Anabolic Androgenic Steroids (AAS) are commonly used at high doses by bodybuilders and athletes to enhance physique and improve performance levels. These agents are known to produce changes in various organ systems and produce adverse effects such as gynaecomastia, hypertension, IHD, psychological disturbances, testicular atrophy and acne. They have also been associated with prostate cancer and nephroblastoma. AAS also have a profound impact on the liver including peliosis hepatis, cholestasis and hepatocellular adenomas. We report a case of spontaneous hepatic rupture with life threatening haemorrhage associated with a past history of anabolic steroid use.
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