[Peroperative rhabdomyolysis caused by compression of a kidney-bridge. Value of muscular scintigraphy].
A case is reported of acute renal failure occurring after prolonged abdominal aortic bypass surgery in an overweight 69-year-old male patient. Preoperative serum creatinine concentration was normal. Surgery lasted for 6 h, and infrarenal aortic cross-clamping 2 1/2 h. The patient complained of important lumbar pain immediately after the operation. In the same time, oliguria and acute renal failure also developed (creatinine: 464 mumol.l-1; urea: 13 mmol.l-1). Rhabdomyolysis caused by the kidney-bridge was confirmed by the elevated blood creatine phosphokinase levels (16,000 IU.l-1 on the second postoperative day). A 99 m-Technetium methylene-diphosphonate imaging on the 10th postoperative day exhibited diffuse fixation in the paravertebral lumbar and thoracic muscles, extending from Th8 to L3. The acute renal failure regressed completely after haemodialysis.
Bukowski
J G
JG
Département d'Anesthésie-Réanimation, CHRU d'Angers.
Houet
J F
JF
Lepoitevin
L
L
Chapillon
M
M
Delhumeau
A
A
D058186:Acute Kidney Injury / Q000209:etiology; D000368:Aged; D001416:Back Pain / Q000209:etiology; D001513:Beds; D001807:Blood Vessel Prosthesis; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D008161:Lumbosacral Region / Q000000981:diagnostic imaging; D008297:Male; D011187:Posture; D011877:Radionuclide Imaging; D012206:Rhabdomyolysis / Q000000981:diagnostic imaging / Q000209:etiology*; D013669:Technetium Tc 99m Medronate
D013669:Technetium Tc 99m Medronate
Rhabdomyolyse peropératoire par compression sur un billot lombaire. Intérêt de la scintigraphie musculaire.