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Obesity Surgery

, Volume 18, Issue 3, pp 349–351 | Cite as

Rhabdomyolysis After Sleeve Gastrectomy: Increase in Muscle Enzymes Does Not Predict Fatal Outcome

  • Pietro ForestieriEmail author
  • Antonio Formato
  • Vincenzo Pilone
  • Antonietta Romano
  • Angela Monda
  • Salvatore Tramontano
Case Report

Abstract

Introduction

Rhabdomyolysis (RML) is a clinical and biochemical syndrome caused by destruction of skeletal muscles and constitutes a complication of bariatric surgery, with an incidence near to 22%. It is accompanied by increase in serum of intracellular enzymes. Laboratory data as predictive of prognosis have been evaluated by some authors. We report a case of RML after a sleeve gastrectomy, with good prognosis despite a very extensive muscle damage and very high seric and urinary peaks of intracellular enzymes.

Case Report

We describe a 34-years-old super-obese male (body mass index, 54.3 kg/m2) who underwent to laparoscopic sleeve gastrectomy. After 24 h, patient complained of pain in gluteal region, oliguria, and high levels of creatine phosphokinase that reached to 58,395 IU/l. Acute renal failure related to RML was diagnosed. Dialysis was not necessary. Ambulatorial control of renal function after dimission did not reveal a permanent damage.

Conclusion

RML is a biochemical syndrome recently associated with bariatric surgery. Early diagnosis is ever necessary. Laboratory data represent markers for diagnosis and prognostic indicator of renal failure. There is no clear relation between seric levels of intracellular enzymes and irreversible renal damage and RML-related mortality.

Keywords

Rhabdomyolysis Sleeve gastrectomy Creatine kinase Bariatric surgery Obesity 

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Copyright information

© Springer Science + Business Media B.V. 2007

Authors and Affiliations

  • Pietro Forestieri
    • 1
    Email author
  • Antonio Formato
    • 1
  • Vincenzo Pilone
    • 1
  • Antonietta Romano
    • 1
  • Angela Monda
    • 1
  • Salvatore Tramontano
    • 1
  1. 1.Department of General, Geriatric and Oncologic Surgery and Advanced TechnologyUniversità degli Studi Federico IINaplesItaly

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