Manifestaciones ultrasonográficas en rabdomiólisis

Published on Nov 1, 2016in Cirugia Y Cirujanos0.264
· DOI :10.1016/J.CIRCIR.2015.06.036
Raúl Carrillo-Esper10
Estimated H-index: 10
,
Yazmín Galván-Talamantes1
Estimated H-index: 1
+ 2 AuthorsLuis Ignacio Bonilla-Reséndiz1
Estimated H-index: 1
Sources
Abstract
Resumen Antecedentes La rabdomiolisis se define como la necrosis del musculo esqueletico. Recientemente la evaluacion ultrasonografica se ha posicionado como una herramienta de gran utilidad para el diagnostico y seguimiento de enfermedades musculares, entre ellas la rabdomiolisis. Se presenta el caso de un paciente en el que se realizo evaluacion ultrasonografica de rabdomiolisis. Objetivo Resaltar la importancia de la ultrasonografia como parte fundamental en el diagnostico en rabdomiolisis, describir los hallazgos ultrasonograficos y revisar la literatura disponible. Caso clinico Paciente de 30 anos con rabdomiolisis por inmovilizacion prolongada de ambos muslos. Se le practico insonacion con ultrasonido modelo (Philips Sparq), empleando un transductor lineal de alta frecuencia (5-10 MHz), bajo modo de escaneo bidimensional (2D), en cortes longitudinales y transversales al nivel de ambos muslos. Las imagenes obtenidas fueron: desorganizacion de la orientacion de las fibras musculares, imagen de vidrio despulido, engrosamiento de la fascia muscular y la presencia de zonas anecoicas. Conclusiones La ultrasonografia es una herramienta util en la evaluacion de la rabdomiolisis.
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La rabdomiolisis es un sindrome clinico que resulta de una lesion muscular secundaria a la entrada de calcio al espacio intracelular, que provoca una interaccion patologica entre la actina y la miosina y culmina en destruccion muscular. Sus causas son multiples, la mas frecuente es el traumatismo; puede provocar complicaciones graves que ponen en peligro la vida. El diagnostico se establece con el aumento cuando menos cinco veces del valor normal de la creatincinasa. El tratamiento se enfoca a l...
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#1Xavier Bosch (University of Barcelona)H-Index: 58
#2Esteban PochH-Index: 24
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The causes of acute rhabdomyolysis include trauma, drugs, toxins, and certain infections. Acute kidney injury is a dangerous complication of severe rhabdomyolysis. This review summarizes current views on the pathogenesis of myoglobin-induced kidney injury as well as on its prevention and treatment.
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Rhabdomyolysis is a potentially life-threatening syndrome that can develop from a variety of causes; the classic findings of muscular aches, weakness and tea-coloured urine are non-specific and may not always be present. The diagnosis therefore rests upon the presence of a high level of suspicion of any abnormal laboratory values in the mind of the treating physician. An elevated plasma creatine kinase (CK) level is the most sensitive laboratory finding pertaining to muscle injury; whereas hyper...
315 Citations
#1Baihai Su (Sichuan University)H-Index: 19
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Background On May 12, 2008, a major earthquake hit Wenchuan County in Sichuan Province of China. The number of cases of crush injury following this event was high. Ultrasonic appearance of rhabdomyolysis (RM) caused by crush injury in the Wenchuan earthquake was observed to evaluate the diagnostic value of ultrasound for detection of rhabdomyolysis. Methods We analyzed clinical and ultrasonic manifestations of 50 cases of RM and 18 cases of RM with osteofascial compartment syndrome (OCS). All ca...
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Introduction Rhabdomyolysis is a severe and debilitating condition that promotes muscle breakdown and is a relatively rare, not always diagnosed cause of acute renal failure (ARF) with an 8–20% reported incidence. Exertional rhabdomyolysis only appears in adult patients 24–48 h after strenuous activities as military basic training, weight lifting, and marathon running.
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背景在5月12,2008日,在跟随这个事件的压碎损害的盒子的 China.The 数字的四川省的一个主要地震点击 Wenchuan 县是压碎损害在 Wenchuan 地震引起的 rhabdomyolysis ( RM )的 high.Ultrasonic 外观被观察为我们分析了的 rhabdomyolysis.Methods 的察觉评估超声的诊断价值临床、超声的表明 RM 的 50 个盒子和有分隔空间症候群( OCS ) .All 盒子被引起 b 的 osteofascial 的 RM 的 18 个盒子
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We describe a case of rhabdomyolysis involving the masseter muscle. It involved an episode of muscle lysis of the left upper and lower limb and the left masseter, after ingesting an unknown quantity of alcohol, amphetamines and ecstasy with prolonged immobility for an unknown period after collapse. Musculoskeletal sonography was used to diagnose rhabdomyolysis of the left masseter muscle.
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#1Ya-Ning Chiu (NTU: National Taiwan University)H-Index: 2
#2Tyng-Guey Wang (NTU: National Taiwan University)H-Index: 31
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Rhabdomyolysis is the necrosis of skeletal muscle with the release of intracellular substances into the extracellular fluid and circulation, which may cause further life-threatening complications. Early diagnosis and prompt treatment are mandatory. However, the initial clinical manifestations of rhabdomyolysis may be subtle. High suspicion is crucial for early diagnosis. Although definite diagnosis depends on laboratory tests, imaging studies are usually the first modalities used to examine pati...
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#1W. H. Bagley (Mount Sinai St. Luke's and Mount Sinai Roosevelt)H-Index: 1
#2H. Yang (Columbia University)H-Index: 1
Last. Kaushal Shah (Mount Sinai St. Luke's and Mount Sinai Roosevelt)H-Index: 18
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Rhabdomyolysis is a syndrome involving the breakdown of skeletal muscle causing myoglobin and other intracellular proteins and electrolytes to leak into the circulation. The development of rhabdomyolysis is associated with a wide variety of diseases, injuries, medications and toxins. While the exact mechanisms responsible for all the causes are not fully understood, it is clear that muscle damage can occur from direct injury or by metabolic inequalities between energy consumption and energy prod...
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#1Knut Brockmann (GAU: University of Göttingen)H-Index: 44
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Abstract Muscle ultrasound is considered a useful noninvasive technique for visualizing normal and pathological skeletal muscle. We determined the accuracy of qualitative muscle ultrasound in the discrimination of normal muscle from myopathic, neurogenic, and unspecifically abnormal tissue changes in the evaluation of suspected NMD in childhood. Sensitivity and specificity of muscle ultrasound were assessed by comparing sonographic classification of muscle tissue changes in 134 children with def...
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AbstractRationale:Acute kidney injury (AKI) accounts for 8% to 16% of hospital admissions and can quadruple hospital mortality, placing a serious burden on the health economy. Acute kidney injury (AKI) is mainly caused by dehydration, shock, infection, sepsis, heart disease, or as a side-effect of n
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