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Clin Nucl Med. 2013 May;38(5):365-6. doi: 10.1097/RLU.0b013e318286808e.

Compartment syndrome following robotic-assisted prostatectomy: rhabdomyolysis in bone scintigraphy.

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  • 1Department of Nuclear Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China.


Major urologic surgery performed in the lithotomy position sometimes results in the serious complication of rhabdomyolysis. A 56-year-old man was admitted to the hospital for prostate adenocarcinoma. A whole-body bone scan was performed to exclude bony metastases, which demonstrated no bone lesions but showed intense soft-tissue activity in gluteus maximus muscles, findings suggestive of a myopathy. He had just undergone right nerve-sparing radical prostatectomy in the lithotomy position for 6 hours and presented with swollen bilateral thighs. Elevation of creatine kinase level confirmed muscle injury.

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