Fatal Rhabdomyolysis following Spine Surgery in a Morbidly Obese Patient: A Case Report

We generally believe that obese patients are faced on higher risk of developing perioperative complications. Rhabdomyolysis is a rare but potentially life-threatening condition caused by the release of injured skeletal muscle components into the circulation. It usually results from mechanical damage to the muscle, intoxication, or a postictal state after a seizure. In the present study, we have reported a rare case of rhabdomyolysis developing in a morbidly obese patient after upper thoracic spinal fusion surgery. We have found acute renal failure that evolved during the course of treatment resulted in a fatal outcome even though the patient received intensive supportive care. Our experience suggests that this rare complication should be considered in morbidly obese patients and those efforts should be made to avoid rhabdomyolysis.

Prenatal Diagnosis of Intrauterine Fetal Femur Fracture / 대한산부인과학회잡지

Intrauterine fetal fracture is rare and hardly ever is a diagnosis made before the baby is born. A 32-years-old, woman at 37(+6) weeks gestation was admitted in labor. The patient had no history of abdominal trauma and disease. The length of fetal femur was shorter than average in antenatal care. Fetus was delivered by Cesarean delivery. He was diagnosed intrauterine femur fracture by radiologic evaluation. We therefore are reporting the prenatal diagnosis of an intrauterine fetal fracture of the femur in this case.