Citation

Kok SXS, Tan TJ. Singapore Med. J. 2017; 58(8): 467-472.

Copyright

(Copyright © 2017, Singapore Medical Association)

DOI

10.11622/smedj.2017081

PMID

28848989

PMCID

PMC5563526

Abstract

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.

Language: en

Keywords

Humans; Adult; Male; Magnetic Resonance Imaging; rhabdomyolysis; Necrosis; creatine kinase; Rhabdomyolysis; Muscle, Skeletal; Leg; myositis; myonecrosis