Anesthesia and Pain Medicine  2016;11(3):318-321

doi:10.17085/apm.2016.11.3.318

Rhabdomyolysis after prolonged laparoscopic radical nephrectomy: A case report.

Ho Sik MOON 1 ; Dong Kyu KIM ; Sang Ho SHIN ; Ji Young LEE

Affiliations

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Keywords

Decubitus position; Gluteal compartment syndrome; Nephrectomy; Rhabdomyolysis

Country

Republic 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.