title: Torture rhabdomyorhexis--a pseudo-crush syndrome.
abstract: Two patients who were systematically tortured and deprived of any oral intake presented with acute renal failure several days later. Unlike the classical crush syndrome, we describe a clinical entity wherein repeated direct muscle injury from blunt trauma, in addition to forced dehydration, led to myoglobinuria and renal failure. The literature is reviewed, and biochemical indices predicting severity of injury, pathophysiology, and management protocol are described. This pseudo-crush syndrome caused by rhabdomyorhexis in addition to rhabdomyolysis is an unusual entity, in part related to extreme sociopolitical factors.
authors.affiliation: Department of General Surgery, Hadassah University Hospital, Jerusalem, Israel.
authors.forename: A I
authors.initials: AI
authors.lastname: Bloom
authors.forename: G
authors.initials: G
authors.lastname: Zamir
authors.forename: M
authors.initials: M
authors.lastname: Muggia
authors.forename: M
authors.initials: M
authors.lastname: Friedlaender
authors.forename: Z
authors.initials: Z
authors.lastname: Gimmon
authors.forename: A
authors.initials: A
authors.lastname: Rivkind
mesh_terms: D000328:Adult; D003444:Crush Syndrome / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D012206:Rhabdomyolysis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D014104:Torture