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CC BY 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2024; 07(01): 079-081
DOI: 10.1055/s-0043-1763482
Case Report

Multiple Small Bowel Intussusceptions in the Setting of Anabolic Steroid Use

Alex Davies
1   Department of Medical Services, Royal Hobart Hospital, Australia
,
Michael Sangiorgio
2   Department of General Medicine, Royal Hobart Hospital, Australia
,
Ashwin Patwardhan
3   Department of Gastroenterology, Royal Melbourne Hospital, Australia
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Abstract

Adult intussusception is a rare phenomenon and often provides a unique diagnostic challenge, typically involving extensive investigation to rule out sinister pathology. We present the case of a healthy 28-year-old male, who presented with symptoms suggestive of small bowel obstruction. Computed tomography displayed evidence of a small bowel intussusception; however, thorough investigation was unremarkable, besides a marked polycythemia. The patient represented several months later with another bowel obstruction, at which time he disclosed the regular use of androgenous anabolic steroids (AAS), which are recognized to induce polycythemia. AAS increase the risk of thromboembolic events and have more recently been implicated as a risk factor for intussusception. This case aims to highlight the increasing prevalence of AAS use, and the importance of its consideration in diagnostic dilemmas, particularly in otherwise healthy adults presenting with intussusception.

Keywords

anabolic - bowel - intussusception - steroids


Publikationsverlauf

Artikel online veröffentlicht:
17. April 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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