Rhabdomyolysis and acute renal failure following prolonged surgery in the lithotomy position
Joint Authors
Qullah, Adnan
al-Urayfi, Ibrahim
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 24, Issue 2 (30 Apr. 2013), pp.330-332, 3 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2013-04-30
Country of Publication
Saudi Arabia
No. of Pages
3
Main Subjects
Topics
Abstract EN
Operative positions commonly used in urogenital surgeries when perineal exposure is required include the lithotomy and the exaggerated lithotomy positions (LPs), which expose patients to the risk of rhabdomyolysis.
We report a patient with bladder outflow obstruction, benign prostatic hypertrophy and a very large bladder stone, which was removed with cystoscopy and cystolitholapaxy in the LP.
The procedure was complicated by posterior bladder perforation and abdominal distention leading to prolonged surgery duration (5.5 h).
The patient developed rhabdomyolysis and acute renal failure (ARF) without compartmental syndrome.
On the other hand, there was a potential role of glycine solution, used for bladder irrigation, in the appearance of ARF.
Overall, our case shows that rhabdomyolysis and ARF can develop in operative positions, and duration of surgery is the most important risk factor for such complications.
American Psychological Association (APA)
Qullah, Adnan& al-Urayfi, Ibrahim. 2013. Rhabdomyolysis and acute renal failure following prolonged surgery in the lithotomy position. Saudi Journal of Kidney Diseases and Transplantation،Vol. 24, no. 2, pp.330-332.
https://search.emarefa.net/detail/BIM-329034
Modern Language Association (MLA)
Qullah, Adnan& al-Urayfi, Ibrahim. Rhabdomyolysis and acute renal failure following prolonged surgery in the lithotomy position. Saudi Journal of Kidney Diseases and Transplantation Vol. 24, no. 2 (2013), pp.330-332.
https://search.emarefa.net/detail/BIM-329034
American Medical Association (AMA)
Qullah, Adnan& al-Urayfi, Ibrahim. Rhabdomyolysis and acute renal failure following prolonged surgery in the lithotomy position. Saudi Journal of Kidney Diseases and Transplantation. 2013. Vol. 24, no. 2, pp.330-332.
https://search.emarefa.net/detail/BIM-329034
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 332
Record ID
BIM-329034