Rabdomiólise por síndrome compartimental glútea após cirurgia bariátrica: relato de caso

Abstract

Patients with morbid obesity undergoing bariatric surgery may present gluteal compartment syndrome as a complication. When it is not diagnosed and treated promptly, it may evolve to rhabdomyolysis and acute renal failure, which represents a serious life-threatening situation.

Consequências sistêmicas da cirurgia bariátrica e suas repercussões na saúde bucal

“…Thus, there is a stimulation for better diet and oral hygiene 48 . Bariatric surgery, also can lead to other complications, such as rhabdomyolysis, acute renal failure and gastric ulcer's 3 It is important that the dentist be careful in the administration of local anesthetics in patients who have acute renal failure or rhabdomyolysis, since, according Mercatello 36 , anesthetics act on renal function by changing the self-regulating of blood flow and glomerular filtration rate.…”

“…The number of operations for obesity has increased in recent years 5,47 and its success is founded on the effective weight loss, control of comorbidities and increased quality of life 1,5,9,29,47 . However, some negative effects have also been reported in several studies, such as hyperparathyroidism and osteoporosis 39,55,57,59 chronic regurgitation, nutritional deficiencies 2,6,28,30,59 , kidney problems 3,16 and oral problems 22,23,31,49 . The objective of this review was to identify the consequences of postoperative bariatric surgery (as vitamin deficiency, gastroesophageal reflux, kidney disturbances, psychological alterations, reduction of diabetes mellitus, improvement in obstructive sleep apnea and, also, to check its impact on oral health and dental caries, xerostomy, erosion and bone resorption.…”

Rhabdomyolysis After Bariatric Surgery by Roux-en-Y Gastric Bypass: A Prospective Study

“…Although RML in BS has been described as a rare complication in case reports [11,[18][19][20][21][22][23][24][25][26][27][28]37] (Table 3), it was diagnosed in 77.3% (17) of our patients, indicating it is a common problem in the postoperative period of this surgical procedure. Similar high frequencies were also found in three other available prospective studies [29,30,31] (Table 4).…”

“…In our series, gender was not a risk factor of occurrence of RML. However, in the prospective study of Carvalho et al [30] and many case reports [11,[19][20][21][22][23][24][25][26][27][28], RML has been more commonly seen in men. A possible explanation for this finding is obesity being more severe in men.…”

“…According to the extension damage, it can be asymptomatic or lifethreatening due to the possibility of hypovolemia, electrolytic disturbs, coagulopathy, and renal failure. RML in BS has been previously described mainly as case reports [11,[18][19][20][21][22][23][24][25][26][27][28] with just a few longitudinal studies about its frequency [29][30][31].…”