**Core Concept**
Peliosis hepatis is a rare condition characterized by the presence of blood-filled cavities in the liver, often associated with various underlying pathologies. This condition can lead to complications such as liver failure, bleeding, and even rupture.

**Why the Correct Answer is Right**
Peliosis hepatis is often linked to the use of anabolic steroids, which can cause liver damage and lead to the formation of blood-filled cavities. The pathophysiology is thought to involve the disruption of normal liver architecture and the formation of vascular channels, leading to the characteristic blood-filled cavities. This condition can also be associated with other factors such as **oral contraceptives**, **tuberculosis**, and **cancer**.

**Why Each Wrong Option is Incorrect**
**Option A:** Anabolic steroids are indeed a known cause of peliosis hepatis, so this option is incorrect.
**Option B:** Oral contraceptives have been linked to peliosis hepatis, making this option incorrect.
**Option C:** Tuberculosis is another known association with peliosis hepatis, so this option is incorrect.
**Option D:** This option is correct because it is the one that is not associated with peliosis hepatis.

**Clinical Pearl / High-Yield Fact**
It's essential to recognize that peliosis hepatis can present with non-specific symptoms such as fatigue, weight loss, and abdominal pain, making it challenging to diagnose. A high index of suspicion and imaging studies are often required to establish the diagnosis.

**Correct Answer: D.**