Lithotomy position-related rhabdomyolysis of gluteus maximus muscles demonstrated by bone scintigraphy.
Major urologic surgery performed in the lithotomy position sometimes results in the serious complications of rhabdomyolysis and acute renal failure. A 54-year-old man with prostate cancer (weight, 84 kg; height, 171 cm; body mass index, 28.7) underwent radical perineal prostatectomy in the lithotomy position for 7 hours. On the first postoperative day, the patient complained of numbness and pain of both thighs with oliguria. Serum creatinine kinase and myoglobin levels were elevated. Bone scintigraphy on the second day, which was confirmed by MRI, showed extraosseous increased activity in gluteus maximus muscle regions compatible with rhabdomyolysis.
Lim
Seok Tae
ST
Department of Nuclear Medicine, Chonbuk National University Medical School, Jeonju, Jeonbuk, Korea.
Sohn
Myung-Hee
MH
Jeong
Hwan-Jeong
HJ
Yim
Chang-Yeol
CY
D002081:Buttocks; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011187:Posture; D011468:Prostatectomy / Q000009:adverse effects*; D011877:Radionuclide Imaging; D012206:Rhabdomyolysis / Q000000981:diagnostic imaging* / Q000209:etiology*