Sonographic diagnosis of rhabdomyolysis

Fornage, Bruno D.; Nérot, C.

doi:10.1002/jcu.1870140512

Cited by 25 publications

(7 citation statements)

References 7 publications

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“…During his examination, Kaplan described an US image of the thigh area, containing a focal hypoechoic lesion inside a muscle, which was consistent with findings found in both MRI and scintigraphy in the same area [9]. Since then, new studies and publications regarding ultrasound in rhabdomyolysis diagnosis have started to appear, in which appearance of more than 80 cases of striated muscle lysis have been described [9][10][11][12][13][14][15][16][17][18][19][20].…”

Section: Introductionsupporting

confidence: 52%

Sonographic appearance of rhabdomyolysis – a systematic review of the literature

Anand

Kosiak

2020

Med Ultrason

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Rhabdomyolysis is the process of striated muscle cell lysis, during which proteins and microelements such as myoglobin are released into the bloodstream. It is important to diagnose rhabdomyolysis as soon as possible and start the treatment according to severity, as it is a state that significantly increases the mortality of the patients. The current gold standard of rhabdomyolysis diagnosis is the creatine kinase plasma concentration test, but it can be also diagnosed with imaging techniques, such as ultrasound (US). This review aims to gather previously published information regarding sonographic appearance of rhabdomyolysis. We searched through PubMed and ScienceDirect databases for studies using designed queries. After the selection process we were left with 13 studies containing a description of US appearance of rhabdomyolysis confirmed with a CK plasma level test. Findings described in the majority of the cases were muscle thickening, ground glass opacity, traits of edema and anechoic areas. Other than these, there were several less often reported findings. As a conclusion, rhabdomyolysis seems to have its own US appearance, but for now it cannot be precisely specified and needs further research for clarification.

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Section: Introductionsupporting

confidence: 52%

Sonographic appearance of rhabdomyolysis – a systematic review of the literature

Anand

Kosiak

2020

Med Ultrason

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“…On ultrasound normal skeletal muscle has a relatively hypoechoic echotexture with clearly demarcated linear hyperechoic strands of fibroadipose septa4 (Figure 2). In rhabdomyolysis the findings are variable but may include hyperechoic areas of muscle,5,6 which is likely due to hypercontractile muscle fibers in the acute phase of muscle injury,4 hypoechoic areas of muscle,4,7 which is believed to be caused by edema and inflammation of the muscle,4,7 increased muscle thickness, and fluid within the surrounding the muscles 4. Areas of locally disorganized fascicular architecture8 may also be appreciated but generally the muscle boundary itself remains intact unless an associated tear is present 8.…”

Section: Discussionmentioning

confidence: 99%

“…Abscesses and hematomas may also appear anechoic and hypoechoic and should be considered on the differential diagnosis 5. However, on examination neither of these conditions correlates with the clinical picture.…”

Section: Discussionmentioning

confidence: 99%

Rapid Diagnosis of Rhabdomyolysis with Point-of-Care Ultrasound

Nassar

Talbot

Grant

et al. 2016

WestJEM

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It is important to rapidly diagnosis and treat rhabdomyolysis in order to decrease morbidity and mortality. To date there are no reports in the emergency medicine literature on the use of point-of-care ultrasound in the diagnosis of rhabdomyolysis. This unique case describes how ultrasound was used in the emergency department (ED) to quickly diagnose and treat rhabdomyolysis prior to confirmation with an elevated serum creatine kinase. When coupled with a high index of suspicion, ultrasound can be one of the most portable, readily available, low cost, and minimally invasive techniques for making a rapid diagnosis of rhabdomyolysis in the ED.

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“…Ultrasound usually demonstrates a heterogeneous echo pattern within affected muscles [38,39]. The muscle often appears diffusely enlarged with loss of normal fibrillar architecture and thickening of the layers of perimysium.…”

Section: Rhabdomyolysismentioning

confidence: 99%