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Case Report

Gluteal Compartment Syndrome and Rhabdomyolysis after Prolonged Laparoscopic Nephroureterectomy and Treatment Strategies Including Rehabilitation: A Case Report

1
Department of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu 41944, Korea
2
Department of Urology, School of Medicine, Kyungpook National University, Daegu 41944, Korea
3
Department of Rehabilitation Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Korea
*
Author to whom correspondence should be addressed.
Academic Editor: Junghoon Lee
Healthcare 2022, 10(1), 47; https://doi.org/10.3390/healthcare10010047
Received: 23 November 2021 / Revised: 23 December 2021 / Accepted: 26 December 2021 / Published: 28 December 2021
(This article belongs to the Special Issue Assessment and Treatment for Healthcare of the Musculoskeletal System)
Background: Rhabdomyolysis is a clinical symptom caused by the rapid release of intracellular components such as myoglobin, lactate dehydrogenase, and creatine kinase into the blood circulation. It is commonly caused by muscular injury including compartment syndrome, infection, drugs, etc. Although it rarely occurs during surgery, the incidence may increase if risk factors such as long operation time, improper posture, and condition of being overweight exist. Case Presentation: A 46-year-old male patient complained of pain and weakness in the right hip area and several abnormal findings were observed in the blood sample, reflecting muscle injury and decreased renal function after prolonged urological surgery. He was confirmed as having rhabdomyolysis, which was caused by compartment syndrome of the right gluteal muscle. After the diagnosis, conservative cares were performed in the acute phase and rehabilitation treatments were performed in the chronic phase. After conservative treatment and rehabilitation, blood sample values returned to almost normal ranges and both level of pain and muscle strength were significantly improved. In addition, about 25 days after discharge, he almost recovered to pre-operative condition. Conclusion: Careful attention is required to prevent intraoperative compartment syndrome. It also suggests that not only medical treatment but also early patient-specific rehabilitation is important in patients with rhabdomyolysis after prolonged surgery. View Full-Text
Keywords: compartment syndrome; rhabdomyolysis; nephroureterectomy; surgery; rehabilitation compartment syndrome; rhabdomyolysis; nephroureterectomy; surgery; rehabilitation
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MDPI and ACS Style

Jeong, J.-G.; Choi, S.H.; Kim, A.-R.; Hwang, J.-M. Gluteal Compartment Syndrome and Rhabdomyolysis after Prolonged Laparoscopic Nephroureterectomy and Treatment Strategies Including Rehabilitation: A Case Report. Healthcare 2022, 10, 47. https://doi.org/10.3390/healthcare10010047

AMA Style

Jeong J-G, Choi SH, Kim A-R, Hwang J-M. Gluteal Compartment Syndrome and Rhabdomyolysis after Prolonged Laparoscopic Nephroureterectomy and Treatment Strategies Including Rehabilitation: A Case Report. Healthcare. 2022; 10(1):47. https://doi.org/10.3390/healthcare10010047

Chicago/Turabian Style

Jeong, Jae-Gyeong, Seock H. Choi, Ae-Ryoung Kim, and Jong-Moon Hwang. 2022. "Gluteal Compartment Syndrome and Rhabdomyolysis after Prolonged Laparoscopic Nephroureterectomy and Treatment Strategies Including Rehabilitation: A Case Report" Healthcare 10, no. 1: 47. https://doi.org/10.3390/healthcare10010047

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