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
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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#2Susana Patricia Díaz Gutiérrez (Mexican Social Security Institute)H-Index: 1
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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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315 Citations
#1Baihai Su (Sichuan University)H-Index: 19
#2Li QiuH-Index: 12
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