Clinics in diagnostic imaging (179)
Autor: | Shi Xian Shawn Kok, Tien Jin Tan |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test biology business.industry Myoglobinuria Magnetic resonance imaging General Medicine Emergency department Thigh medicine.disease 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis medicine biology.protein Creatine kinase Radiology Gluteal muscles business Rhabdomyolysis Myositis |
Zdroj: | Singapore Medical Journal. 58:467-472 |
ISSN: | 0037-5675 |
Popis: | A 32-year-old man presented to the emergency department with severe right lower limb pain and swelling of three days' duration. He had multiple prior admissions for recurrent seizures and suicide attempts. Markedly elevated serum creatine kinase levels and urine myoglobinuria were consistent with a diagnosis of rhabdomyolysis. Initial magnetic resonance imaging of the right lower limb revealed diffuse muscle oedema and features of myositis in the gluteal muscles and the adductor, anterior and posterior compartments of the thigh. Follow-up magnetic resonance imaging performed 11 days later showed interval development of areas of myonecrosis and haemorrhage. The causes, clinical presentation and imaging features of rhabdomyolysis are discussed. |
Databáze: | OpenAIRE |
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