Rhabdomyolysis of Calf Area Associated with Lithotomy Position for Laparoscopic Myomectomy.
- Author:
Ok Ki KIM
1
;
Chan Young OAK
;
Ji Min JEONG
;
Jeong Won LEE
;
Won Young CHOI
;
Nam Ho KIM
Author Information
1. Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. nhk111@chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Rhabdomyolysis;
Lithotomy position;
Acute kidney injury
- MeSH:
Acute Kidney Injury;
Alcoholism;
Coma;
Connective Tissue Diseases;
Glycosaminoglycans;
Hip;
Knee;
Membranes;
Muscles;
Necrosis;
Patient Positioning;
Rhabdomyolysis;
Sprains and Strains
- From:Korean Journal of Medicine
2012;83(6):802-806
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Rhabdomyolysis is a syndrome characterized by muscle necrosis and release of intracellular muscle constituents into the circulation. It can occur in various diseases and conditions involving destruction of muscle membranes, including muscle strain, persistent coma, drug or alcohol abuse, connective tissue disease, excessive exercise, and surgery. Many factors have been implicated in the development of rhabdomyolysis during surgery; these include patient positioning with obstructed blood flow of either a femoral vessel at the hip or a popliteal vessel at the knee. Rhabdomyolysis can also be caused by muscle compression due to operative positioning during prolonged surgery. Surgery performed in the lithotomy position sometimes results in serious complications of rhabdomyolysis and acute renal failure. We report a case of rhabdomyolysis of both calves associated with the lithotomy position for laparoscopic myomectomy.
