Postoperative Rhabdomyolysis in the Bilateral Shoulder Areas After Cardiac Surgery

Bueno, Brian; Gencarelli, Pasquale; Nasra, Matthew H.; Buckley, P. A.; Monica, James; Katt, Brian M.

doi:10.7759/cureus.18522

Cited by 2 publications

(2 citation statements)

References 15 publications

(44 reference statements)

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“…Rhabdomyolysis following surgery is a recognized complication that might be brought on by the patient's position, an extended procedure, or certain postoperative risk factors, with numerous reports detailing its impact on the management of the common indications for which patients undergo surgery (3,4). Aneurysmal subarachnoid haemorrhage(aSAH) is a relative reason for prolonged surgery.…”

Section: Introductionmentioning

confidence: 99%

Case Report: Rhabdomyolysis in aneurysmal subarachnoid hemorrhage: A rare case with implications for management

Liao

Chen²,

Xu³

et al. 2023

Front. Surg.

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BackgroundIn recent years, some cases of rhabdomyolysis after surgery have been reported. In this report, we present an adult patient with rhabdomyolysis after intracranial aneurysm surgery.Case ReportA 59-year-old male suffered from a coma, fever, and soy sauce urine after intracranial aneurysm clipping. A routine blood examination showed that liver and kidney function were impaired, and creatine phosphokinase(CK) and creatine phosphokinase isoenzyme(CK-MB) levels increased. Therefore, we consider patients with rhabdomyolysis after intracranial aneurysm surgery. A series of treatment schemes, such as intravenous fluid infusion, alkalized urine, and hemodialysis, were adopted immediately, and finally the patient was discharged safely.ConclusionFor some postoperative patients, once the level of CK/CK-MB increases, acute renal damage occurs, and the urine color turns soy sauce, we should be alert to postoperative rhabdomyolysis.For those patients who have been diagnosed with rhabdomyolysis, we need to take timely treatment measures to avoid an unfortunate occurrence.

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Section: Introductionmentioning

confidence: 99%

Case Report: Rhabdomyolysis in aneurysmal subarachnoid hemorrhage: A rare case with implications for management

Liao

Chen²,

Xu³

et al. 2023

Front. Surg.

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“…Improper positioning during long-lasting surgery can cause a large amount of body weight to be focused on a specific region over a long period, leading to severe muscle damage. Studies published by researchers from various fields, including bariatric surgery, cardiac surgery, and neurosurgery, have demonstrated that body regions in contact with the operating table during long-lasting surgery are subjected to high pressure when the patient’s position does not change after anesthesia, substantially increasing the risk of postoperative rhabdomyolysis ( 3 - 5 ).…”

Section: Introductionmentioning

confidence: 99%

Catastrophic rhabdomyolysis following breast reconstruction operation using an abdominal flap: a case report

Kang¹,

Cho²,

Lim³

et al. 2023

Gland Surg

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Background Rhabdomyolysis is a potentially fatal clinical syndrome resulting from the damage or breakdown of skeletal muscle, which can also lead to permanent disabilities. Based on our review of studies on rhabdomyolysis after prolonged surgeries, no other cases of rhabdomyolysis caused by muscle injury in the buttock area following breast reconstruction have been reported, making the current report the first to share information related to patient conditions and treatment progress in such cases. Case Description Here, we present the case of a 57-year-old Asian patient with left breast cancer. We performed immediate breast reconstruction using a deep inferior epigastric perforator (DIEP) flap anastomosed to the internal mammary vessels after a skin-sparing mastectomy with sentinel lymph node biopsy. The surgery exceeded the estimated time because, after anastomosis, severe congestion was observed in the flap and because of the need to perform re-anastomosis and the reconstruction of the internal mammary vein twice. The surgical team eventually re-performed the breast reconstruction using a contralateral pedicled transverse rectus abdominis myocutaneous (TRAM) flap. The patient underwent breast reconstruction in a sitting position to ensure a symmetrical and natural breast shape resembling its original state. Additionally, a brown splint was placed underneath both legs to keep the hip and knees flexed to ensure donor-site closure when using an abdominal-based flap. The patient was closely monitored in the early postoperative period. On postoperative day (POD) 3, patient developed hypotension and was deemed to have experienced a hypovolemic shock. A complete laboratory workup was performed, and a rhabdomyolysis diagnosis was made based on the laboratory results. We believe that rhabdomyolysis resulted from prolonged pressure on the large gluteus maximus muscle located below the site of the pressure sore in the present patient. Conclusions Postoperative rhabdomyolysis often results from prolonged surgery. Given the possibility of prolonged procedure time in patients undergoing breast reconstruction, the current case emphasizes the need to identify each patient’s risk factors for rhabdomyolysis and prepare for possible rhabdomyolysis to prevent ischemic injuries and reduce the risk of complications such as hypovolemic shock.

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Postoperative Rhabdomyolysis in the Bilateral Shoulder Areas After Cardiac Surgery

Cited by 2 publications

References 15 publications

Case Report: Rhabdomyolysis in aneurysmal subarachnoid hemorrhage: A rare case with implications for management

Case Report: Rhabdomyolysis in aneurysmal subarachnoid hemorrhage: A rare case with implications for management

Catastrophic rhabdomyolysis following breast reconstruction operation using an abdominal flap: a case report

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