Resumo

FABUEL DELTORO, M. et al. Rhabdomyolysis after laparoscopic nephrectomy: case report. Arch. Esp. Urol. [online]. 2008, vol.61, n.7, pp.823-825. ISSN 0004-0614.

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° 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.

Palavras-chave : Rhabdomyolysis; Laparoscopy; Complications.

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