Rhabdomyolysis: another complication after prolonged surgery.
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.
Alterman
Igal
I
Department of General Intensive Care Unit, Edith Wolfson Medical Center, the Tel Aviv University Sackler School of Medicine, Holon 58100, Israel.
Sidi
Ami
A
Azamfirei
Leonard
L
Copotoiu
Sanda
S
Ezri
Tiberiu
T
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
D015415:Biomarkers; D009211:Myoglobin; D003402:Creatine Kinase