Journal List > J Korean Soc Radiol > v.62(6) > 1086780

Park, Kim, Seo, and Kim: Lumbar Paraspinal Rhabdomyolysis after a Prostatectomy: A Case Report

Abstract

Acute rhabdomyolysis corresponds to the destruction of striated muscles causing the release of their cellular contents into the plasma and circulation. It could be caused by alcohol abuse, drug abuse, infection, trauma, exertional exercise, and coma. Rhabdomyolysis associcated with surgery is rare, however, we present a case of bilateral paraspinal rhadomyolysis after a prostatectomy in the supine position.

Figures and Tables

Fig. 1

A 62-year-old man with lower back pain following prostatectomy.

A. Enhanced CT scan shows swollen bilateral paraspinal muscles with heterogeneous enhancement.
B. Sagittal T2WI shows high signal intense lesion (arrows) in the paraspinal muscle from L1 level to sacral level.
C. Axial T1WI shows swollen bilateral erector spinae muscles, especially left one, with intermediate to high signal intensity.
D. Axial T2WI shows heterogenous high signal intense lesion in the bilateral erector spinae muscles.
E. Gadolinium enhanced axial T1WI shows heterogenous enhancement in the bilateral erector spinae muscles.
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