Anesth Pain Med.  2016 Jul;11(3):318-321. 10.17085/apm.2016.11.3.318.

Rhabdomyolysis after prolonged laparoscopic radical nephrectomy: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea. leeji@catholic.ac.kr

Abstract

Rhabdomyolysis is characterized by the breakdown of skeletal muscle and the subsequent release of intracellular contents into the circulatory system. It is potentially life-threatening because it is sometimes associated with very high creatine kinase levels, myoglobinuria, and acute renal failure. We experienced a case of postoperative rhabdomyolysis after prolonged laparoscopic radical nephrectomy in the semi-lateral decubitus position. It was associated with suspicious gluteal compartment syndrome. Fortunately, the patient's renal function was normal through his hospital course. Rhabdomyolysis is well worth considering at the point of intraoperative positioning and postoperative care after prolonged surgery.

Keyword

Decubitus position; Gluteal compartment syndrome; Nephrectomy; Rhabdomyolysis

MeSH Terms

Acute Kidney Injury
Compartment Syndromes
Creatine Kinase
Muscle, Skeletal
Myoglobinuria
Nephrectomy*
Postoperative Care
Rhabdomyolysis*
Creatine Kinase

Figure

  • Fig. 1 MRI axial view shows extensive muscle edema with necrosis involving the right hip rotators (arrow), compared with the left side.


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