Jessica Cecilia Robles Pérez, Gabriel Sebastián Jaramillo Orellana, Paúl Santiago Martínez Torres
Introduction: Rhabdomyolysis is an entity that can present as a low-incidence postoperative complication characterized by myonecrosis with release of toxins into the bloodstream. There are predisposing factors and the majority of post-surgical rhabdomyolysis have a multifactorial etiology. It generally presents with acute kidney injury and the need for dialysis, which increases the days of hospital stay and mortality. Purpose: The purpose of this article is to report on the clinical case of a patient diagnosed with rhabdomyolysis after a surgical intervention, in addition to providing relevant information on early diagnosis and timely treatment. Case presentation: It is about a 69-year-old male patient who undergoes surgery for shoulder arthroscopy, repair of the rotator cuff due to previous and superior injury, plus biceps tenotomy with subdeltoideal acromioclavicular decompression. During the postoperative period, he presents asthenia, nausea, and 12 hours of anuria. There is evidence of elevation in azotemia and muscle enzymes (Creatine phosphokinase (CPK): 10,519U/L), and the diagnosis of rhabdomyolysis is established. He remains hospitalized with an infusion of crystalloids and furosemide, in addition to steroids (methylprednisolone), N-acetylcysteine, and bicarbonate, without improvement, requiring hemodialysis. Subsequently, he evolves favorably with a gradual decrease in azotemia and muscle enzymes, and is discharged after 14 days of hospitalization. Discussion and conclusion: Post-surgical rhabdomyolysis is frequently a multifactorial pathology, influenced by predisposing elements directly related to the patient, the surgical process, and drugs. A rare case of multifactorial postsurgical RML is presented in an elderly male patient, considered as risk factors, who required RRT and therefore, it increased hospitalization´s days.
{"title":"Postsurgical rhabdomyolysis","authors":"Jessica Cecilia Robles Pérez, Gabriel Sebastián Jaramillo Orellana, Paúl Santiago Martínez Torres","doi":"10.22265/acnef.11.2.758","DOIUrl":"https://doi.org/10.22265/acnef.11.2.758","url":null,"abstract":"Introduction: Rhabdomyolysis is an entity that can present as a low-incidence postoperative complication characterized by myonecrosis with release of toxins into the bloodstream. There are predisposing factors and the majority of post-surgical rhabdomyolysis have a multifactorial etiology. It generally presents with acute kidney injury and the need for dialysis, which increases the days of hospital stay and mortality.\u0000Purpose: The purpose of this article is to report on the clinical case of a patient diagnosed with rhabdomyolysis after a surgical intervention, in addition to providing relevant information on early diagnosis and timely treatment.\u0000Case presentation: It is about a 69-year-old male patient who undergoes surgery for shoulder arthroscopy, repair of the rotator cuff due to previous and superior injury, plus biceps tenotomy with subdeltoideal acromioclavicular decompression. During the postoperative period, he presents asthenia, nausea, and 12 hours of anuria. There is evidence of elevation in azotemia and muscle enzymes (Creatine phosphokinase (CPK): 10,519U/L), and the diagnosis of rhabdomyolysis is established. He remains hospitalized with an infusion of crystalloids and furosemide, in addition to steroids (methylprednisolone), N-acetylcysteine, and bicarbonate, without improvement, requiring hemodialysis. Subsequently, he evolves favorably with a gradual decrease in azotemia and muscle enzymes, and is discharged after 14 days of hospitalization.\u0000Discussion and conclusion: Post-surgical rhabdomyolysis is frequently a multifactorial pathology, influenced by predisposing elements directly related to the patient, the surgical process, and drugs. A rare case of multifactorial postsurgical RML is presented in an elderly male patient, considered as risk factors, who required RRT and therefore, it increased hospitalization´s days.","PeriodicalId":508339,"journal":{"name":"Revista Colombiana de Nefrología","volume":" 86","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141826894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introducción: la enfermedad de Puigvert, o megacaliosis, es un trastorno congénito del sistema colector urinario poco frecuente, caracterizado por la dilatación de los calices renales sin dilación del tracto urinario. Objetivo: el propósito de este artículo es informar el caso de enfermedad de Puigvert o megacaliosis identificada en un lactante menor de tres meses de edad. Presentación del caso: en este artículo se reporta el caso de un lactante menor con megacaliosis bilateral en quien se realizó el diagnóstico posnatal, a partir de una presunción diagnóstica prenatal de riñón multiquístico. Discusión y conclusión: esta es una entidad rara con pocos casos reportados a nivel mundial, de curso benigno que representa un factor de riesgo para el desarrollo de complicaciones secundarias, por lo cual es fundamental la identificación temprana, así como el descartar otros diagnósticos diferenciales, entre ellos la dilatación del tracto urinario (DTU), la cual fue sospechada inicialmente en nuestro paciente. En el caso del lactante de este reporte, el diagnóstico temprano pudo realizarse gracias a las pruebas imagenológicas prenatales que permitieron la sospecha diagnóstica de una anormalidad renal con posterior confirmación en la ecografía posnatal; en el seguimiento, el paciente se ha mantenido asintomático sin evidencia de complicaciones.
{"title":"Enfermedad de Puigvert: un caso raro","authors":"Gustavo Adolfo Guerrero Tinoco, Diana Paola Moreno Maya","doi":"10.22265/acnef.11.1.722","DOIUrl":"https://doi.org/10.22265/acnef.11.1.722","url":null,"abstract":"Introducción: la enfermedad de Puigvert, o megacaliosis, es un trastorno congénito del sistema colector urinario poco frecuente, caracterizado por la dilatación de los calices renales sin dilación del tracto urinario.\u0000Objetivo: el propósito de este artículo es informar el caso de enfermedad de Puigvert o megacaliosis identificada en un lactante menor de tres meses de edad.\u0000Presentación del caso: en este artículo se reporta el caso de un lactante menor con megacaliosis bilateral en quien se realizó el diagnóstico posnatal, a partir de una presunción diagnóstica prenatal de riñón multiquístico.\u0000Discusión y conclusión: esta es una entidad rara con pocos casos reportados a nivel mundial, de curso benigno que representa un factor de riesgo para el desarrollo de complicaciones secundarias, por lo cual es fundamental la identificación temprana, así como el descartar otros diagnósticos diferenciales, entre ellos la dilatación del tracto urinario (DTU), la cual fue sospechada inicialmente en nuestro paciente. En el caso del lactante de este reporte, el diagnóstico temprano pudo realizarse gracias a las pruebas imagenológicas prenatales que permitieron la sospecha diagnóstica de una anormalidad renal con posterior confirmación en la ecografía posnatal; en el seguimiento, el paciente se ha mantenido asintomático sin evidencia de complicaciones.","PeriodicalId":508339,"journal":{"name":"Revista Colombiana de Nefrología","volume":"29 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139602082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：