[Rhabdomyolysis after laparoscopic nephrectomy: case report].
OBJECTIVE
To show the clinical management of rhabdomyolysis secondary to laparoscopic surgery and how clinical treatment may be enough for adequate resolution.


METHODS
Laparoscopic nephrectomy is a routine technique, which may have associated morbidity. We present one case of rhabdomyolysis which presented as gluteal pain and functional impotency, together with skin lesions, acute renal failure and elevated muscle enzymes.


RESULTS
In our case, the patient had a satisfactory outcome with medical treatment. We perform a bibliographic review in which we identify multiple risk factors, such as body mass index, surgical time, position during operation with lateral decubitus and 40-60 degrees flexion. Prevention is the most important factor to avoid acute renal failure secondary to myoglobin.


CONCLUSIONS
Prevention, early detection, and immediate start of therapeutic measures are essential for the good resolution of rhabdomyolysis after surgery.
Fabuel Deltoro
M
M
Servicio de Urologia, Consorcio Hospital General Universitario de Valencia, Valencia, España. milafabuel@hotmail.com
Ramos de Campos
M
M
Juan Escudero
J
J
de la Cruz Torrijos
F Serrano
FS
Montoliu García
A
A
Marqués Vida
E
E
Navalón Verdejo
P
P
D006801:Humans; D010535:Laparoscopy; D008297:Male; D009392:Nephrectomy / Q000009:adverse effects* / Q000379:methods*; D012206:Rhabdomyolysis / Q000209:etiology*