PT - JOURNAL ARTICLE AU - Maira Hameed AU - Ajay Sahu AU - Maria B Johnson TI - Muscle mania: the quest for the perfect body AID - 10.1136/bcr-2016-217208 DP - 2016 Nov 02 TA - BMJ Case Reports PG - bcr2016217208 VI - 2016 4099 - http://casereports.bmj.com/content/2016/bcr-2016-217208.short 4100 - http://casereports.bmj.com/content/2016/bcr-2016-217208.full AB - We describe the case of a young man with repeated hospital presentations for a variety of symptoms related to excessive bodybuilding and associated behaviours. He presented to our department (radiology) with right arm pain and loss of function. Ultrasound showed complete triceps rupture, rare in young patients and multiple cystic areas within the muscles of the arm. MRI revealed these to be multiple proteinaceous lesions within the muscle bellies and the possibility of self-innoculation was raised by the reporting radiologist. The patient subsequently admitted to injecting coconut oil to improve muscle contour lost secondary to injury. A review of his hospital presentations was then made and revealed further concerning practices performed by the patient to enhance his muscular appearance.