Rhabdomyolysis after laparoscopic radical nephrectomy -A case report-

Tae Kwane Kim, Jun Rho Yoon, Myeong Ha Lee, Tae Kwane Kim, Jun Rho Yoon, Myeong Ha Lee

Abstract

Rhabdomyolysis is a rare but potentially lethal clinical syndrome that results from acute muscle fiber necrosis with leakage of muscle constituents into blood. This devastating disease could be due to muscle compression caused by urologic positioning for a lengthy nephrectomy. In this regard, laparoscopic renal surgery may be a risk for the development of rhabdomyolysis. This phenomenon of massive muscle necrosis can produce secondary acute renal failure. The risk factors have to be managed carefully during anesthetic management. Here, we report a case of a patient with rhabdomyolysis that developed in the flexed lateral decubitus position during laparoscopic nephrectomy.

Keywords: Acute renal failure; Flexed lateral decubitus position; Nephrectomy; Rhabdomyolysis.

Figures

Fig. 1
Fig. 1
Technecium99m and methylene diphosphonate bone scans showing increased activity in gluteal muscle and psoas muscle (arrows) caused by calcium accumulation in necrotic fibers. (A) Anterior view, (B) Posterior view.

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Source: PubMed

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