쇄석위로 자궁근종절제술 후 발생한 장딴지 부위 횡문근융해증 1예

• Published in: The Korean journal of medicine Vol. 83; no. 6; pp. 802 - 806
• Main Authors: 이정원, Jeong Won Lee, 김남호, Nam Ho Kim, 최원영, Won Young Choi, 김옥기, Ok Ki Kim, 정지민, Ji Min Jeong, 옥찬영, Chan Young Oak
• Format: Journal Article
• Language: Korean
• Published: 대한내과학회 01.12.2012
• Subjects: Acute kidney injury; Lithotomy position; Rhabdomyolysis; 내과학
• ISSN: 1738-9364; 2289-0769
• DOI: 10.3904/kjm.2012.83.6.802

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. (Korean J Med 2012;83:802-806)