Unexpected rhabdomyolysis with myoglobinuria in a patient in the supine position.
We report a case of post-operative rhabdomyolysis following transmandibular buccopharyngectomy without reconstruction in a patient remaining in the supine position throughout the procedure. Muscle compression induced by a cushion used during the procedure had probably contributed to the rhabdomyolysis. Outcome was favourable without acute renal failure. Prevention, early diagnosis and treatment are the keys to a successful recovery.
Département d'Anesthésie-Réanimation Chirurgicale-Hôpital Saint-Louis, Paris, France.
S
S
Choufane
M
M
Lemogne
L
L
Jacob
D000368:Aged; D001513:Beds / Q000009:adverse effects; D006801:Humans; D008297:Male; D009055:Mouth / Q000601:surgery; D009212:Myoglobinuria / Q000209:etiology; D010611:Pharyngectomy; D011183:Postoperative Complications; D011312:Pressure; D012206:Rhabdomyolysis / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy; D012782:Shoulder / Q000473:pathology; D016683:Supine Position; D016896:Treatment Outcome