Rectus Abdominis Rhabdomyolysis: Report of 2 Cases

Boyle, Jerome; Marks, Paul; Read, John

doi:10.1002/jum.14242

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…During his examination, Kaplan described an US image of the thigh area, containing a focal hypoechoic lesion inside a muscle, which was consistent with findings found in both MRI and scintigraphy in the same area [9]. Since then, new studies and publications regarding ultrasound in rhabdomyolysis diagnosis have started to appear, in which appearance of more than 80 cases of striated muscle lysis have been described [9][10][11][12][13][14][15][16][17][18][19][20].…”

Section: Introductionsupporting

confidence: 52%

Sonographic appearance of rhabdomyolysis – a systematic review of the literature

Anand

Kosiak

2020

Med Ultrason

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Rhabdomyolysis is the process of striated muscle cell lysis, during which proteins and microelements such as myoglobin are released into the bloodstream. It is important to diagnose rhabdomyolysis as soon as possible and start the treatment according to severity, as it is a state that significantly increases the mortality of the patients. The current gold standard of rhabdomyolysis diagnosis is the creatine kinase plasma concentration test, but it can be also diagnosed with imaging techniques, such as ultrasound (US). This review aims to gather previously published information regarding sonographic appearance of rhabdomyolysis. We searched through PubMed and ScienceDirect databases for studies using designed queries. After the selection process we were left with 13 studies containing a description of US appearance of rhabdomyolysis confirmed with a CK plasma level test. Findings described in the majority of the cases were muscle thickening, ground glass opacity, traits of edema and anechoic areas. Other than these, there were several less often reported findings. As a conclusion, rhabdomyolysis seems to have its own US appearance, but for now it cannot be precisely specified and needs further research for clarification.

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Section: Introductionsupporting

confidence: 52%

Sonographic appearance of rhabdomyolysis – a systematic review of the literature

Anand

Kosiak

2020

Med Ultrason

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“…When the clinical diagnosis is clear, ultrasound examination is usually used only to confirm the diagnosis (Long et al 2017). However, in some case reports, some patients who were not considered to have rhabdomyolysis were correctly diagnosed because of ultrasound prompts (Nassar et al 2016;Boyle et al 2017). Therefore, some scholars believe that when ultrasound makes a presumptive diagnosis of rhabdomyolysis, it can remind clinicians to perform a serum creatine kinase (CK) test for verification to achieve the purpose of early diagnosis of rhabdomyolysis.…”

Section: Introductionmentioning

confidence: 99%

Application of Ultrasonography in the Diagnosis of Rhabdomyolysis

Tian

Xia

et al. 2021

Ultrasound in Medicine & Biology

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Early diagnosis and treatment of rhabdomyolysis are very important, but difficult to achieve for some atypical cases. Our study was aimed at determining the diagnostic value of ultrasonography in rhabdomyolysis caused by different factors. The study enrolled 50 patients with rhabdomyolysis diagnosed in our hospital. Among the 50 cases (mean age = 38.4 y, 22 women) of rhabdomyolysis, 26 cases (mean age = 35.5 y, 8 women) were induced by exercise. During the patients' first visit, 5 cases (mean age = 30.6 y, 1 woman) were suspected of having rhabdomyolysis and were diagnosed by clinicians; 12 cases (mean age = 34.8 y, 5 women) were correctly diagnosed under ultrasound; and 9 cases (mean age = 39.2 y, 2 women) were misdiagnosed. Ultrasound did not play a critical role in 24 patients (mean age = 41.5 y, 14 women) with rhabdomyolysis caused by trauma, infection, crayfish consumption, drugs, alcohol and heat stroke. We then concluded that exercise-induced rhabdomyolysis is a common type of rhabdomyolysis. Ultrasonography plays an important role in the early diagnosis of exercise-induced rhabdomyolysis but has limited value in the diagnosis of rhabdomyolysis caused by other etiologies.

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Isolated rhabdomyolysis of long head of triceps mimicking upper extremity deep vein thrombosis

Filipopoulos

Balanathan

2022

BMJ Case Rep

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Rhabdomyolysis is characterised by skeletal muscle breakdown, with release of toxic intracellular contents into the circulation. A man in his 20s presented to the emergency department with acute-onset right arm swelling, with pitting oedema extending into his forearm without clear precipitant. Initial differential diagnosis was upper extremity deep vein thrombosis, however none was identified on CT venogram. Instead, rhabdomyolysis of long head of triceps was diagnosed after multidisciplinary review of the venogram by the treating vascular surgeon and radiologist. Retrospectively, added serum creatine kinase was found to be 11 587 U/L, and together with MRI of the right arm, the diagnosis was established. Given the patient’s lack of comorbidities, normal renal function and reliability, he was managed conservatively as an outpatient without hospital admission for intravenous hydration. This is the only case to our knowledge of isolated long head of triceps’ rhabdomyolysis reported in Australia and the second case worldwide.

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Rectus Abdominis Rhabdomyolysis: Report of 2 Cases

Cited by 4 publications

References 21 publications

Sonographic appearance of rhabdomyolysis – a systematic review of the literature

Sonographic appearance of rhabdomyolysis – a systematic review of the literature

Application of Ultrasonography in the Diagnosis of Rhabdomyolysis

Isolated rhabdomyolysis of long head of triceps mimicking upper extremity deep vein thrombosis

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