title: Rhabdomyolysis: another complication after prolonged surgery.
abstract: We present the case of a young patient who underwent a prolonged urological procedure in the lateral decubitus position. The patient's postoperative course was complicated by rhabdomyolysis manifested by elevated levels of serum creatine phosphokinase and the presence of myoglobin in urine and blood. To prevent renal failure, we managed the patient in the intensive care unit with generous volumes of intravenous fluids, forced diuresis, and urine alkalization. Subsequently, the patient had an uneventful recovery. The linkage between surgical positioning, prolonged surgery time, and rhabdomyolysis is discussed.
authors.affiliation: Department of General Intensive Care Unit, Edith Wolfson Medical Center, the Tel Aviv University Sackler School of Medicine, Holon 58100, Israel.
authors.forename: Igal
authors.initials: I
authors.lastname: Alterman
authors.forename: Ami
authors.initials: A
authors.lastname: Sidi
authors.forename: Leonard
authors.initials: L
authors.lastname: Azamfirei
authors.forename: Sanda
authors.initials: S
authors.lastname: Copotoiu
authors.forename: Tiberiu
authors.initials: T
authors.lastname: Ezri
mesh_terms: D000328:Adult; D015415:Biomarkers / Q000097:blood; D003402:Creatine Kinase / Q000097:blood; D006801:Humans; D008297:Male; D009211:Myoglobin / Q000097:blood; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D011187:Posture / Q000502:physiology*; D012086:Reoperation; D012206:Rhabdomyolysis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D013997:Time Factors; D013520:Urologic Surgical Procedures
chemical_list: D015415:Biomarkers; D009211:Myoglobin; D003402:Creatine Kinase