The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Rhabdomyolysis of Calf Area Associated with Lithotomy Position for Laparoscopic Myomectomy

쇄석위로 자궁근종절제술 후 발생한 장딴지 부위 횡문근융해증 1예

  • Kim, Ok Ki (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Oak, Chan Young (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Jeong, Ji Min (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Lee, Jeong Won (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Choi, Won Young (Department of Internal Medicine, Chonnam National University Medical School) ;
  • Kim, Nam Ho (Department of Internal Medicine, Chonnam National University Medical School)
  • 김옥기 (전남대학교 의과대학 내과학교실) ;
  • 옥찬영 (전남대학교 의과대학 내과학교실) ;
  • 정지민 (전남대학교 의과대학 내과학교실) ;
  • 이정원 (전남대학교 의과대학 내과학교실) ;
  • 최원영 (전남대학교 의과대학 내과학교실) ;
  • 김남호 (전남대학교 의과대학 내과학교실)
  • Published : 2012.12.01
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Abstract

Rhabdomyolysis is a syndrome characterized by muscle necrosis and release of intracellular muscle constituents into the circulation. It can occur in various diseases and conditions involving destruction of muscle membranes, including muscle strain, persistent coma, drug or alcohol abuse, connective tissue disease, excessive exercise, and surgery. Many factors have been implicated in the development of rhabdomyolysis during surgery; these include patient positioning with obstructed blood flow of either a femoral vessel at the hip or a popliteal vessel at the knee. Rhabdomyolysis can also be caused by muscle compression due to operative positioning during prolonged surgery. Surgery performed in the lithotomy position sometimes results in serious complications of rhabdomyolysis and acute renal failure. We report a case of rhabdomyolysis of both calves associated with the lithotomy position for laparoscopic myomectomy.

장시간 쇄석위는 횡문근융해증을 유발할 수 있으므로 수술 시 주의가 필요하며 수술 후에도 주의 깊은 관찰이 필요하다.

Keywords

References

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