Rhabdomyolysis: another complication after prolonged surgery

Igal Alterman, Ami Sidi, Leonard Azamfirei, Sanda Copotoiu, Tiberiu Ezri*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

45 Scopus citations


We present the case of a young patient who underwent a prolonged urological procedure in the lateral decubitus position. The patient's postoperative course was complicated by rhabdomyolysis manifested by elevated levels of serum creatine phosphokinase and the presence of myoglobin in urine and blood. To prevent renal failure, we managed the patient in the intensive care unit with generous volumes of intravenous fluids, forced diuresis, and urine alkalization. Subsequently, the patient had an uneventful recovery. The linkage between surgical positioning, prolonged surgery time, and rhabdomyolysis is discussed.

Original languageEnglish
Pages (from-to)64-66
Number of pages3
JournalJournal of Clinical Anesthesia
Issue number1
StatePublished - Feb 2007
Externally publishedYes


  • Lateral position
  • Prolonged urological surgery
  • Rhabdomyolysis


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