Korean J Anesthesiol.  2011 Oct;61(4):341-343. 10.4097/kjae.2011.61.4.341.

Rhabdomyolysis recognized after elevation of liver enzymes following prolonged urologic surgery with lateral decubitus position: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University Mokdong Hospital, Seoul, Korea. lgyanes@ewha.ac.kr

Abstract

The classic signs and symptoms of rhabdomyolysis are non-specific and not present in all cases, and mild cases might go unrecognized. We present a case of rhabdomyolysis recognized in a 68-year-old man after elevation of liver enzymes following prolonged urologic surgery. The patient's postoperative course was concerned with elevated serum aspartate aminotransferase and alanine aminotransferase without any clinical manifestations on the first postoperative day. After examining the serum creatine kinase and myoglobin levels, the patient was diagnosed with rhabdomyolysis. After 16 days, he was discharged with fully recovered liver enzymes and creatine kinase. We suggest that sufficient perioperative attentions should be given to patients at a higher risk of rhabdomyolysis.

Keyword

Lateral decubitus position; Liver enzymes; Rhabdomyolysis

MeSH Terms

Aged
Alanine Transaminase
Aspartate Aminotransferases
Attention
Creatine Kinase
Humans
Liver
Myoglobin
Rhabdomyolysis
Alanine Transaminase
Aspartate Aminotransferases
Creatine Kinase
Myoglobin
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