A Case of Acute Kidney Injury Associated with Rhabdomyolysis after Liposuction

지방흡인술 시술과 관련된 횡문근융해증에 의한 급성 신손상 1예

Rhabdomyolysis is defined as a skeletal muscle injury with release of muscle cell constituents into the plasma. It can occur in various diseases and conditions, including muscle strain, drug or alcohol abuse, connective tissue disease, excess exercise, or following surgery. Only one case of rhabdomyolysis has ever been associated with liposuction in Korea. We experienced a case of rhabdomyolysis that developed after liposuction surgery. The patient was a 39-year-old woman presenting with abdominal pain 1 day after liposuction. She was treated with general supportive care, including massive hydration and absolute bed rest. Renal replacement therapy was performed due to pulmonary edema. She, finally, recovered fully. Acute kidney injury caused by liposuction-induced rhabdomyolysis is a rare disease. Therefore, we present this case with a review of the literature.

지방흡인술 시술은 점차 우리나라에서도 그 빈도가 증가하고 있는 수술로, 수술 시 주의가 필요하다. 횡문근융해증의 조기 징후를 보일 때에는 빠른 뇨 검사와 혈액 검사를 통하여 횡문근융해증을 진단하고 충분한 수액 공급 및 이뇨제 투여가 필요하다. 또한 수술 후에도 주의 깊은 관찰을 해야 할 것이다.