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  • Title: Acute forearm compressive myopathy syndrome secondary to upper limb entrapment: an unusual cause of renal failure.
    Author: Tachtsi MD, Kalogirou TE, Atmatzidis SK, Papadimitriou DK, Atmatzidis KS.
    Journal: Ann Vasc Surg; 2011 May; 25(4):559.e1-5. PubMed ID: 21549937.
    Abstract:
    Compressive myopathy syndrome (SCM) is a syndrome characterized by the lesion of skeletal muscle resulting in subsequent release of intracellular contents (myoglobin, creatine phosphokinase, potassium, etc.) into the circulatory system, which can cause potentially lethal complications. There are numerous causes that can lead to SCM resulting to acute rhabdomyolysis, and many patients present with multiple causes. The most common potentially lethal complication is acute renal failure. The occurrence of acute rhabdomyolysis should be considered as a possibility in any patient who can remain stationary for long periods, or is in a coma, or is intoxicated in any form. We report the rare case of a 26-year-old patient who developed SCM caused by ischemia reperfusion, with subsequent acute rhabdomyolysis and acute renal failure after prolonged compression of the right upper extremity.
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