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Clinical Nuclear Medicine:
doi: 10.1097/RLU.0b013e318286808e
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Compartment Syndrome Following Robotic-Assisted Prostatectomy: Rhabdomyolysis in Bone Scintigraphy

Yang, Rong-Hsin MD; Chu, Yum-Kung MD; Huang, Chia-Wen MSc

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Abstract

Abstract: Major urologic surgery performed in the lithotomy position sometimes results in the serious complication of rhabdomyolysis. A 56-year-old man was admitted to the hospital for prostate adenocarcinoma. A whole-body bone scan was performed to exclude bony metastases, which demonstrated no bone lesions but showed intense soft-tissue activity in gluteus maximus muscles, findings suggestive of a myopathy. He had just undergone right nerve-sparing radical prostatectomy in the lithotomy position for 6 hours and presented with swollen bilateral thighs. Elevation of creatine kinase level confirmed muscle injury.

© 2013 by Lippincott Williams & Wilkins

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