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BJA Advance Access published online on October 17, 2006
British Journal of Anaesthesia, doi:10.1093/bja/ael274
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Accepted September 2, 2006

Case Report

Rhabdomyolysis in an obese patient after total knee arthroplasty

C. Karcher 1, H.-J. Dieterich 1, and T. H. Schroeder 1 *

1 Department of Anaesthesiology and Critical Care Medicine, Tübingen University Hospital, Tübingen, Germany

* To whom correspondence should be addressed.
T. H. Schroeder, E-mail: torsten.schroeder{at}uni-tuebingen.de


  Abstract

We report the case of a morbidly obese patient who developed rhabdomyolysis with acute renal failure, hepatic dysfunction, and an increase of cardiac troponin-1 after total knee arthroplasty. Postoperative rhabdomyolysis has a wide range of triggers and differential diagnoses that should be considered by the anaesthesiologist and surgeons. We would like to emphasize that morbidly obese patients have an increased risk of developing postoperative rhabdomyolysis potentially leading to life-threatening disease. Intensified postoperative observation seem justified in these patients.

Keywords: complications, liver disease; complications, obesity; complications, renal; surgery, orthopaedic.
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Rhabdomyolysis in an obese patient secondary to the use of limb tourniquet
Olumuyiwa A Bamgbade, et al.
British Journal of Anaesthesia, 26 Feb 2007 [Full text]

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