Document Type
Article
Publication Date
Fall 9-2015
Abstract
Intussusceptions are generally associated with mechanical lead points or localized inflammation that function as foci for intestinal telescoping. We present the case of a patient whose abuse of anabolic steroids resulted in the development of multiple simultaneous intussusceptions. Our patient had no additional identifiable risk factors for intussusception. Consistent with previous reports, corticosteroid induced polycythemia and its consequent hyperviscosity led to intravascular sludging and mesenteric ischemia with associated bowel wall thickening. The localized intestinal induration then served as mechanical foci for intussusception. Due to the illicit nature of anabolic androgenic steroid (AAS) abuse, the physiologic effects of supraphysiologic doses are sparsely reported and poorly understood. The scope of AAS abuse and its consequences are likely under-reported and under-recognized within the medical community. Our case presented a unique diagnostic and therapeutic challenge with which we aim to increasing awareness and clinical suspicion for AAS among healthcare personnel.
Recommended Citation
Cavanaugh, Y., Shah, N., Thomas, A.B. and Gupta, A., 2015. Multiple intussusceptions associated with polycythemia in an anabolic steroid abuser, a case report and literature review. Annals of Medical and Health Sciences Research, 5(5), pp.368-372.
Comments
The copy of record is available at https://dx.doi.org/10.4103%2F2141-9248.165259. Copyright © 2015 Annals of Medical and Health Sciences ResearchThis is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. https://dx.doi.org/10.4103%2F2141-9248.165259