Clinics in diagnostic imaging (179)

Autor: Shi Xian Shawn Kok, Tien Jin Tan
Rok vydání: 2017
Předmět:
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