Abstract
Rhabdomyolysis is a serious and life-threatening condition in which skeletal muscle is damaged, commonly resulting in acute renal failure. The causes of this clinical entity can be traumatic and non-traumatic. In the latter group, alcohol is the commonest cause. This report describes the case of a 25 year old man who presented with rhabdomyolysis leading to acute renal failure after an alcohol binge. He presented with painful legs and lower extremity compartment syndrome. The patient recovered with surgical fasciotomy and renal support. This case illustrates the importance of early recognition and treatment of alcohol related non-traumatic rhabdomyolysis and compartment syndrome.
[download-attachments container="div" style="list" dipslay_icon="1" display_count="1" display__size="0"]
References
- Sauret JM, Marinides G, Wang GK. Rhabdomyolysis. Am Fam Physician 2002; 65: 907–12.
- Daher EF, Cordeiro NF. Acute renal failure due to rhabdomyolysis. Rev Bras Med 1998; 55(7): 526–33.
- Vanholder R, Sever MS, Erek E, Lameire N. Rhabdomyolysis. J Am Soc Nephrol 2000; 11(8): 1553–61.
- Suzuki S, Nonaka A, Kumazawa T. [Compartment syndrome in a young male caused by acute alcoholic rhabdomyolysis]. Masui 2002; 51(10): 1127–8.
- Bocca G, van Moorselaar JA, Feitz WFJ, van der Staak FH, Monnens LA. Compartment syndrome, rhabdomyolysis and risk of acute renal failure as complications of the lithotomy position. J Nephrol 2002; 15(2): 183–5.
- Qiu LL, Nalin P, Huffman Q, Sneed JB, Renshaw S, Hartman SW. Nontraumatic rhabdomyolysis with long term alcohol intoxication. J Am Board Fam Pract 2004; 17(1): 54–8.
- Mallinson RH, Goldsmith DJ, Higgins RM, Venning MC, Ackrill P. Acute swollen legs due to rhabdomyolysis: initial management as deep vein thrombosis may lead to acute renal failure. BMJ 1994; 309(6965): 1361–2.
- Ward MM. Factors predictive of acute renal failure in rhabdomyolysis. Arch Intern Med 1988 Jul; 148(7): 1553–7.
- Zager RA. Rhabdomyolysis and myohemoglobinuric acute renal failure. Kidney Int. 1996; 49(2): 314–26.
- Lane R, Phillips M. Rhabdomyolysis. BMJ 2003; 327(7407): 115–6. 11. Homsi E, Barreiro MF, Orlando JM, Higa EM. Prophylaxis of acute renal failure in patients with rhabdomyolysis. Ren Fail 1997; 19(2): 283–8.
Request Permissions
To request copyright permission to republish or share portions of our works, please visit Copyright Clearance Center’s (CCC) Marketplace website by clicking the button below:
