Rhabdomyolysis in a chronic kidney disease patient after lung surgery

Abstract

Rhabdomyolysis is the rapid lysis of the rhabdomyoma due to muscular tissue damage, which leads to circulation of myoglobin, which causes nonspecific clinical syndromes [1]. Rhabdomyolysis can occur post-traumatically or from metabolic derangements [1]. Rhabdomyolysis is a well-known cause of acute renal failure (ARF), but in patients with chronic kidney disease (CKD), the characteristic symptoms of rhabdomyolysis are not so obvious and variations in biochemical tests can be similar to CKD patients [2]. We report a CKD patient who developed rhabdomyolysis after a lung surgery under general anesthesia.The patient was a diabetic 64-year-old male who was receiving intermittent hemodialysis after being diagnosed with CKD a year ago. He was taking aspirin and clopidogrel due to a right thalamic infarction; irbesartan, isosorbide dinitrate, and nifedipine for high blood pressure; and insulin due to diabetes. After one year observation of a 2 cm nodule discovered in his left lingular segment at the time of CKD diagnosis, small cell lung carcinoma and adenoma was diagnosed.