PMID: 25757354Mar 12, 2015Paper

Rhabdomyolysis after radical nephrectomy in the lateral decubitus position: report of 2 cases

Nihon Hinyōkika Gakkai zasshi. The japanese journal of urology
Kosuke ShibamoriMasahiro Yanase

Abstract

Rhabdomyolysis is a rare perioperative complication, however, potentially lead to fatal outcome. We experienced 2 cases of rhabdomyolysis after radical nephrectomy and nephroureterectomy in the lateral decubitus position. (Case 1) A 40-years old man was seen in our hospital because of asymptomatic grosshematuria. Computed tomography revealed right renal pelvic cancer, cT3N0M0. Right radical nephroureterectomy, lymph node dissection, partial cystectomy was underwent, and the operation was finished without any trouble. At the post-operative day 1, serum creatinine level was elevated to the point of 4.2 mg/dl, and serum creatine kinase was 1,945 IU/l. Continuous hemodiafiltration (CHDF) was done at intensive-care unit (ICU), and serum creatinine and creatine kinase level were decreased. At the post-operative day 1, urine myoglobin level was prominently elevated (2,943.7 ng/ml), so we diagnosed acute renal failure due to rhabdomyolysis. (Case 2) A 40-years old man was incidentally pointed out of right renal tumor that was seen as renal cell carcinoma, cT1aN0M0. Open partial nephrectomy was underwent, and there was no trouble during the operation. After recovering from anesthesia, the patient felt left thigh pain strongly. Serum cre...Continue Reading

References

Jul 1, 1990·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·P D Mitnick, S Bell
Dec 1, 1993·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·H AliC A Vaamonde
Sep 1, 1993·Anesthesia and Analgesia·L M GuzziP Greenman
Jun 19, 1998·Journal of the American College of Surgeons·M S Slater, R J Mullins
Aug 6, 1999·Journal of Clinical Anesthesia·A Gabrielli, L Caruso
Jul 13, 2006·The Journal of Trauma·Tomer DavidovJohn T Malcynski
Jan 1, 2008·Kidney International·W KimS K Park
Feb 8, 2011·Journal of Clinical Anesthesia·Steven W GalyonSarah G Bodin

❮ Previous
Next ❯

Related Concepts

Related Feeds