Postoperative acute renal failure secondary to rhabdomyolysis from exaggerated lithotomy position.
Perioperative renal dysfunction is a common problem following urogenital surgery. The most common causes of renal failure include ischemic or nephrotoxic acute tubular necrosis, renal vascular injury, and urinary tract obstruction. This case conference describes a patient who developed acute renal failure, secondary to rhabdomyolysis after a 7-hour urologic surgical procedure in an exaggerated lithotomy position. Early diagnosis and aggressive treatment are essential to prevent or limit the severity of acute renal failure. A review of the literature and pathophysiology of acute renal failure secondary to rhabdomyolysis is included.
Gabrielli
A
A
Department of Anesthesiology, University of Florida College of Medicine, Gainesville 32610-0254, USA.
Caruso
L
L
D058186:Acute Kidney Injury / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011187:Posture; D012206:Rhabdomyolysis / Q000209:etiology*; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects*