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Rhabdomyolysis and compartment syndrome in a bodybuilder undergoing minimally invasive cardiac surgery


1 Department of Anaesthetics, St Thomas' Hospital, London SE1 7EH, United Kingdom
2 Department of Cardiac Surgery, St Thomas' Hospital, London SE1 7EH, United Kingdom

Correspondence Address:
Sebastian John Baxter
Department of Anaesthetics, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_11_17

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Year : 2017  |  Volume : 20  |  Issue : 4  |  Page : 453-455

 

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Rhabdomyolysis is the result of skeletal muscle tissue injury and is characterized by elevated creatine kinase levels, muscle pain, and myoglobinuria. It is caused by crush injuries, hyperthermia, drugs, toxins, and abnormal metabolic states. This is often difficult to diagnose perioperatively and can result in renal failure and compartment syndrome if not promptly treated. We report a rare case of inadvertent rhabdomyolysis and compartment syndrome in a bodybuilder undergoing minimally invasive cardiac surgery. The presentation, differential diagnoses, and management are discussed. Hyperkalemia may be the first presenting sign. Early recognition and management are essential to prevent life-threatening complications.






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1 Department of Anaesthetics, St Thomas' Hospital, London SE1 7EH, United Kingdom
2 Department of Cardiac Surgery, St Thomas' Hospital, London SE1 7EH, United Kingdom

Correspondence Address:
Sebastian John Baxter
Department of Anaesthetics, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_11_17

Rights and Permissions

Rhabdomyolysis is the result of skeletal muscle tissue injury and is characterized by elevated creatine kinase levels, muscle pain, and myoglobinuria. It is caused by crush injuries, hyperthermia, drugs, toxins, and abnormal metabolic states. This is often difficult to diagnose perioperatively and can result in renal failure and compartment syndrome if not promptly treated. We report a rare case of inadvertent rhabdomyolysis and compartment syndrome in a bodybuilder undergoing minimally invasive cardiac surgery. The presentation, differential diagnoses, and management are discussed. Hyperkalemia may be the first presenting sign. Early recognition and management are essential to prevent life-threatening complications.






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