Rhabdomyolysis after prolonged laparoscopic radical nephrectomy: A case report.
10.17085/apm.2016.11.3.318
- Author:
Ho Sik MOON
1
;
Dong Kyu KIM
;
Sang Ho SHIN
;
Ji Young LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea. leeji@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Decubitus position;
Gluteal compartment syndrome;
Nephrectomy;
Rhabdomyolysis
- MeSH:
Acute Kidney Injury;
Compartment Syndromes;
Creatine Kinase;
Muscle, Skeletal;
Myoglobinuria;
Nephrectomy*;
Postoperative Care;
Rhabdomyolysis*
- From:Anesthesia and Pain Medicine
2016;11(3):318-321
- CountryRepublic of Korea
- Language:English
-
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.
