Korean J Anesthesiol.  2004 Nov;47(5):755-758. 10.4097/kjae.2004.47.5.755.

Acute Renal Failure due to Rhabdomyolysis Following Laparoscopic Cholecystectomy in a Post-Thyroidectomy Patient: A case report

• Lee JH
• Baek S
• Ha SH
• Kang IG
• Lee SJ

• KMID: 2236684
• DOI: http://doi.org/10.4097/kjae.2004.47.5.755

Abstract

Anesthesia in post-thyroidectomy patients carries the risk of potential complications such as the depression of myocardial function, decreased spontaneous ventilation, abnormal baroreceptor function, reduced plasma volume, anemia, hypoglycemia, hyponatremia, and impaired hepatic drug metabolism. In addition, these patients may be complicated by pigment induced acute renal failure such as rhabdomyolysis. Rhabdomyolysis is a common syndrome in which injury to skeletal muscle results in the leakage of intracellular contents from myocytes into plasma. Moreover, massive rhabdomyolysis can produce life-threatening disseminated intravascular coagulation, myoglobinuric renal failure, acute cardiomyopathy, and various other complications. We experienced a case of acute renal failure caused by rhabdomyolysis during emergence from anesthesia in a post-thyroidectomy patient.

Keyword

acute renal failure; post-thyroidectomy; rhabdomyolysis

MeSH Terms

Acute Kidney Injury*
Anemia
Anesthesia
Cardiomyopathies
Cholecystectomy, Laparoscopic*
Depression
Disseminated Intravascular Coagulation
Humans
Hypoglycemia
Hyponatremia
Metabolism
Muscle Cells
Muscle, Skeletal
Plasma
Plasma Volume
Pressoreceptors
Rhabdomyolysis*
Ventilation