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.
From the Department of Nuclear Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China.
Received for publication June 16, 2012; revision accepted December 29, 2012.
Conflicts of interest and sources of funding: none declared.
Reprints: Rong-Hsin Yang, MD, Department of Nuclear Medicine, Taipei Veterans General Hospital, Number 201, Sec. 2, Shipai Rd, Beitou District, Taipei City, Taiwan 11217, Republic of China. E-mail: email@example.com.