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Unexpected rhabdomyolysis with myoglobinuria in a patient in the supine position

Published online by Cambridge University Press:  16 August 2006

S. Choufane
Affiliation:
Département d'Anesthésie-Réanimation Chirurgicale – Hôpital Saint-Louis, 1 avenue Claude Vellefaux – 75475 Paris, Cedex 10, France
M. Lemogne
Affiliation:
Département d'Anesthésie-Réanimation Chirurgicale – Hôpital Saint-Louis, 1 avenue Claude Vellefaux – 75475 Paris, Cedex 10, France
L. Jacob
Affiliation:
Département d'Anesthésie-Réanimation Chirurgicale – Hôpital Saint-Louis, 1 avenue Claude Vellefaux – 75475 Paris, Cedex 10, France
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Abstract

We report a case of post-operative rhabdomyolysis following transmandibular buccopharyngectomy without reconstruction in a patient remaining in the supine position throughout the procedure. Muscle compression induced by a cushion used during the procedure had probably contributed to the rhabdomyolysis. Outcome was favourable without acute renal failure. Prevention, early diagnosis and treatment are the keys to a successful recovery.

Type
Case Report
Copyright
1998 European Society of Anaesthesiology

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