Rhabdomyolysis related acute renal failure developing in a patient with intradural cervical gunshot injury.

Year 2018, , 52 - 55, 12.03.2018

Birol Özkal

https://doi.org/10.30565/medalanya.342242

Abstract

Spinal injuries are frequent traumas
with high mortality and morbidity. Spinal gunshot injury-related rhabdomyolysis
is a condition which develops in approximately half of the patients.
Rhabdomyolysis results from rapid injury of the muscles and degradation
products. Amount of the degradation products is associated with the magnitude
and the severity of the muscle injury. Renal failure and even death may occur
when the amount of degradation products exceeds the renal clearance capacity.
Cervical region is the spinal region which is exposed to injury least and which
has the highest mortality. Rhabdomyolysis develops more frequently in cervical
region injuries due to the risk of plegia and paresis development in large
muscle groups. In this paper, we presented a patient who developed cervical
spinal gunshot injury-related rhabdomolysis and renal failure.

Keywords

Cervical spine, gunshut injury, acute renal failure, rabdomyolysis

Rabdomyolize bağlı akut böbrek yetmezliği gelişen İntradural servikal ateşli silah yaralanması.

Abstract

Spinal yaralanmalar sık karşılaştığımız,
mortalite ve morbiditesi oldukça yüksek travmalardır. Spinal ateşli silah
yaralanması nedeniyle rabdomyolis bu vakaların yaklaşık yarısında
karşılaştığımız bir durumdur. Rabdomyolizis, vücuttaki kasların hızlı bir
şekilde hasar görmesi ve ortaya çıkan yıkım ürünleri dolayısı ile ortaya çıkan
tablodur. Ortaya çıkan yıkım ürünlerinin miktarı kaslardaki hasarın büyüklüğü
ve şiddeti ile ilişkilidir. Yıkım ürünleri böbreklerin temizleyebileceğinden
daha fazla olduğunda böbrek yetmezliği hatta ölüm gözlenebilir. Omurgada
Servikal bölge en az ateşli silah yaralanmasına maruz kalan ve mortalitesi en
yüksek spinal bölgedir. Servikal bölge yaralanmalarında çok miktarda kas
grubunda pleji ve parezi gelişme riski olduğundan, çok daha sıklıkla
rabdomyolizis gözlenmektedir. Bu yazıda servikal spinal ateşli silah
yaralanmasına bağlı rabdomyolizis ve böbrek yetmezliği gelişen bir olguyu
sunduk.

Keywords

servikal omurga, ateşli silah yaralanması, akut böbrek yetmezliği, rabdomiyoliz

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