Rhabdomyolysis recognized after elevation of liver enzymes following prolonged urologic surgery with lateral decubitus position: -A case report

Abstract

The classic signs and symptoms of rhabdomyolysis are non-specific and not present in all cases, and mild cases might go unrecognized. We present a case of rhabdomyolysis recognized in a 68-year-old man after elevation of liver enzymes following prolonged urologic surgery. The patient's postoperative course was concerned with elevated serum aspartate aminotransferase and alanine aminotransferase without any clinical manifestations on the first postoperative day. After examining the serum creatine kinase and myoglobin levels, the patient was diagnosed with rhabdomyolysis. After 16 days, he was discharged with fully recovered liver enzymes and creatine kinase. We suggest that sufficient perioperative attentions should be given to patients at a higher risk of rhabdomyolysis. © the Korean Society of Anesthesiologists, 2011.